Health Promotion in Glycemic Control and Emotional Well-Being of People with Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis.

IF 2.4 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Healthcare Pub Date : 2024-12-06 DOI:10.3390/healthcare12232461

Miguel Garrido-Bueno, Manuel Pabón-Carrasco, Nerea Jiménez-Picón, Rocío Romero-Castillo

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Abstract

Background/objectives: Structured therapeutic patient education is the key to improving biopsychosocial outcomes in people with type 1 diabetes mellitus. This study aimed to determine the effects of structured therapeutic education on glycemic control and emotional well-being in people with type 1 diabetes mellitus.

Methods: This is a systematic review with a meta-analysis (PROSPERO ID: CRD42023390079). Searches were performed in Scopus, MEDLINE, Web of Science, CINAHL, APA PsycInfo, APA PsycArticles, and the Psychology Database (June-August 2024). The eligibility criteria included randomized controlled trials published in English or Spanish within the past 10 years. Data extraction and risk of bias evaluations were independently conducted by two reviewers. The outcomes analyzed included glycated hemoglobin, time in range, emotional well-being, self-management behaviors, and adherence to treatment. Meta-analyses were performed using RevMan with random and fixed effects models.

Results: Seventeen studies met the eligibility criteria. There was a significant improvement in glycemic control, stress, anxiety, and treatment satisfaction, although the results for the other emotional outcomes were mixed.

Conclusions: Structured therapeutic patient education improves glycemic control and selected emotional outcomes in individuals with type 1 diabetes mellitus. Further trials are needed to refine the characteristics of the intervention and broaden the applicability of the findings to diverse populations.

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1型糖尿病患者血糖控制和情绪健康的健康促进：一项系统综述和荟萃分析

背景/目的：结构化的治疗性患者教育是改善1型糖尿病患者生物心理社会结局的关键。本研究旨在确定结构化治疗教育对1型糖尿病患者血糖控制和情绪健康的影响。方法：这是一项系统综述和荟萃分析（PROSPERO ID: CRD42023390079）。检索于Scopus， MEDLINE, Web of Science， CINAHL, APA PsycInfo， APA PsycArticles和Psychology Database（2024年6 - 8月）。入选标准包括在过去10年内以英语或西班牙语发表的随机对照试验。数据提取和偏倚风险评估由两名审稿人独立进行。分析的结果包括糖化血红蛋白、范围时间、情绪健康、自我管理行为和治疗依从性。采用RevMan随机效应模型和固定效应模型进行meta分析。结果：17项研究符合入选标准。在血糖控制、压力、焦虑和治疗满意度方面都有显著改善，尽管其他情绪结果喜忧参半。结论：结构化的治疗性患者教育改善了1型糖尿病患者的血糖控制和选择的情绪结果。需要进一步的试验来完善干预措施的特点，并扩大研究结果对不同人群的适用性。

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

Healthcare Medicine-Health Policy

CiteScore

3.50

自引率

7.10%

发文量

审稿时长

47 days

期刊介绍： Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.