Efficacy of using telecare services for community-dwelling people with diabetes: A systematic review and meta-analysis

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Primary Care Diabetes Pub Date : 2024-08-01 DOI:10.1016/j.pcd.2024.06.008

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引用次数: 0

Abstract

Objective

To evaluate the glycated hemoglobin (HbA1c), blood pressure, self-efficacy, and quality of life efficacy of using telecare services for community-dwelling people with diabetes.

Methods

Cochrane Library, Web of Science, PsycINFO, PubMed, EMBASE, CINAHL, and Scopus databases were systematically searched from their inception dates to June 22, 2023. Two evaluators independently selected and evaluated eligible studies. A protocol was registered in PROSPERO.

Results

An analysis of 17 studies that included 3586 subjects showed that telecare significantly improved the management of patients with diabetes. Compared to controls, intervention care had significant benefits regarding HbA1c (MD = −0.30, 95 % CI = −0.44 – −0.17, 16 studies), systolic blood pressure (MD = −2.45, 95 % CI = −4.53 – −0.36, P = 0.02), self-efficacy (MD = 0.36, 95 % CI = 0.04 – 0.67, P = 0.03) and quality of life (MD = 0.37, 95 % CI = 0.05 – 0.70, P = 0.02). However, diastolic blood pressure (MD = −1.37, 95 % CI = −3.34 – −0.61, P = 0.17) was not found to be significantly affected.

Conclusions

Telecare is effective in improving self-management among community-dwelling people with diabetes, suggesting an effective means for them to achieve self-management.

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为居住在社区的糖尿病患者提供远程护理服务的效果：系统回顾与荟萃分析。

目的评估社区糖尿病患者使用远程护理服务对糖化血红蛋白（HbA1c）、血压、自我效能和生活质量的影响：对 Cochrane Library、Web of Science、PsycINFO、PubMed、EMBASE、CINAHL 和 Scopus 数据库进行了系统检索，检索时间从开始检索之日起至 2023 年 6 月 22 日。两名评估员独立选择并评估了符合条件的研究。结果：对纳入 3586 名受试者的 17 项研究进行的分析表明，远程护理能显著改善糖尿病患者的管理。与对照组相比，干预护理在 HbA1c（MD = -0.30，95 % CI = -0.44 -0.17，16 项研究）、收缩压（MD = -2.45，95 % CI = -4.53 -0.36，P = 0.02）、自我效能（MD = 0.36，95 % CI = 0.04 - 0.67，P = 0.03）和生活质量（MD = 0.37，95 % CI = 0.05 - 0.70，P = 0.02）方面有明显优势。然而，舒张压（MD = -1.37, 95 % CI = -3.34 -0.61, P = 0.17）并未受到显著影响：结论：远程护理能有效改善社区糖尿病患者的自我管理，是他们实现自我管理的有效手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Care Diabetes ENDOCRINOLOGY & METABOLISM-PRIMARY HEALTH CARE

CiteScore

5.00

自引率

3.40%

发文量

134

审稿时长

47 days

期刊介绍： The journal publishes original research articles and high quality reviews in the fields of clinical care, diabetes education, nutrition, health services, psychosocial research and epidemiology and other areas as far as is relevant for diabetology in a primary-care setting. The purpose of the journal is to encourage interdisciplinary research and discussion between all those who are involved in primary diabetes care on an international level. The Journal also publishes news and articles concerning the policies and activities of Primary Care Diabetes Europe and reflects the society''s aim of improving the care for people with diabetes mellitus within the primary-care setting.