针对接受胰岛素治疗的 2 型糖尿病患者的教育干预：系统回顾

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2024-09-07 DOI:10.2147/ppa.s482882

Chontira Riangkam, Suebsarn Ruksakulpiwat, Pawitra Jariyasakulwong, Varaporn Panichpathom, Lalipat Phianhasin

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引用次数: 0

摘要

目的评估并综合有关教育干预对接受胰岛素治疗的 2 型糖尿病患者（T2DM）的影响的证据：按照系统综述和元分析首选报告项目（PRISMA）指南，在 2024 年 2 月对五个电子数据库（Scopus、PubMed、Medline、CINAHL Plus with Full Text 和 Web of Science）进行了系统检索。检索的重点是 2019 年至 2024 年间发表的研究，这些研究调查了教育干预对接受胰岛素治疗的 T2DM 患者的影响。还人工检索了纳入研究的参考文献列表。对标题和摘要进行了资格筛选，并对相关全文进行了评估：在已确认的 1,032 条记录中，有 11 项研究符合纳入标准。根据使用聚合综合分析框架进行的数据综合，得出了五大主题：1）血糖控制（包括改善 HbA1C、降低餐后血浆葡萄糖和降低空腹血浆葡萄糖等副主题）；2）胰岛素相关并发症（包括减少低血糖事件和缩小脂肪肥厚等副主题）；3）知识、态度和实践（包括参与自我管理、改善胰岛素注射技术、提高知识水平和改善胰岛素治疗态度等副主题）；4）胰岛素的最佳剂量；5）提高生活质量。结论教育干预对于改善胰岛素治疗 T2DM 患者的糖尿病相关预后和减少并发症至关重要。这些干预措施能增强患者的知识、态度和自我管理实践，从而改善血糖控制和生活质量。医疗机构应为胰岛素治疗的T2DM患者制定和提供量身定制的教育计划，以优化治疗效果和减少并发症。

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Educational Interventions for Individuals with Insulin-Treated Type 2 Diabetes Mellitus: A Systematic Review

Objective: To evaluate and synthesize evidence on the impact of educational interventions for individuals with insulin-treated type 2 diabetes mellitus (T2DM).
Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases (Scopus, PubMed, Medline, CINAHL Plus with Full Text, and Web of Science) were systematically searched in February 2024. The search focused on studies published between 2019 and 2024 that investigated the impact of educational interventions on individuals with insulin-treated T2DM. Reference lists of the included studies were also manually searched. Titles and abstracts were screened for eligibility, and relevant full texts were assessed.
Results: Out of 1,032 identified records, 11 studies met the inclusion criteria. According to the data synthesized using a convergent integrated analysis framework, five major themes have emerged: 1) Glycemic control (including subthemes improving HbA1C, decreasing postprandial plasma glucose, and decreasing fasting plasma glucose), 2) Insulin-related complications (including subthemes reducing hypoglycemic events and reducing the size of lipohypertrophy), 3) Knowledge, Attitude, and Practice (including subthemes engaging in self-management, improving insulin injection technique, improving knowledge, and improving attitude toward insulin treatment), 4) Optimal dose of insulin, and 5) Improving quality of life.
Conclusion: Educational interventions are crucial for improving diabetes-related outcomes and reducing complications in individuals with insulin-treated T2DM. These interventions enhance knowledge, attitudes, and self-management practices, leading to better glycemic control and quality of life. Healthcare settings should develop and provide tailored educational programs for individuals with insulin-treated T2DM to optimize outcomes and minimize complications.

Keywords: type 2 diabetes, insulin-treated, education, health management

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.