护士主导的教育和咨询对糖尿病患者服药依从性的影响:一项系统回顾和荟萃分析

M. Paul
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引用次数: 0

摘要

本系统综述的目的是描述和评估护士主导的干预措施,以提高社区护理成人的药物依从性和临床结果。检索PubMed、Medline、Embase、CINAHL和CENTRAL等相关研究。随机对照试验(rct)测试护士主导的干预措施与社区居住的患者和定量测量依从性。对依从性和临床结果进行描述性分析。17项rct符合纳入标准,质量可接受。这些研究在样本量、随访失踪率、研究对象年龄、医疗条件和药物治疗方面各不相同。护士主导的干预是复杂和多方面的。总之,低质量的证据表明,一些护士主导的干预措施可能会改善任何形式糖尿病患者的药物依从性和临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IMPACT OF NURSE-LED EDUCATION AND COUNSELING ON MEDICATION ADHERENCE IN PATIENTS WITH DIABETES: A SYSTEMATIC REVIEW AND META-ANALYSIS
The aim of this systematic review was to describe and assess nurse-led interventions to enhance medication adherence and clinical outcomes among adults in community care. PubMed, Medline, Embase, CINAHL, and CENTRAL were searched for relevant studies. Randomized controlled trials (RCTs) that tested nurse-led interventions with community-dwelling patients and quantitatively measured adherence were included. Adherence and clinical outcomes were analyzed descriptively. Seventeen RCTs fulfilled the inclusion criteria and were of acceptable quality. The studies varied in sample size, loss to follow-up rates, study subject ages, medical conditions, and pharmacotherapy. The nurse-led interventions were complex and multifaceted. In conclusion, low-quality evidence suggests that some nurse-led interventions may improve medication adherence and clinical outcomes in patients suffering from any form of diabetes.
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