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• 专科管理 • 上一篇    下一篇

手机App对糖尿病患者自我管理行为水平影响的Meta分析

张树光 李玉 严杰 陈璇   

  1. 南京中医药大学护理学院,210023南京市(张树光,严杰,陈璇);北京中医药大学护理学院(李玉)
  • 出版日期:2017-08-25 发布日期:2017-08-25
  • 基金资助:
    江苏省普通高校学术学位研究生创新计划校立校助项目,江苏省优势学科二期项目南京中医药大学护理学一级学科指令性课题(YSHL2016-023)

The effect of smartphone applications on self-management of patients with diabetes mellitus: a Meta-analysis

  • Online:2017-08-25 Published:2017-08-25

摘要: 目的:系统评价手机App对1型或2型糖尿病患者自我管理行为水平的影响及效果。方法:计算机检索应用手机App进行糖尿病自我管理的随机或半随机对照试验,2位研究者按纳入排除标准独立筛选文献、提取资料、质量评价后,使用RevMan 5.3软件进行Meta分析。结果:共纳入5篇文献,Meta分析结果显示,应用手机App管理的糖尿病患者在饮食、运动、血糖监测、用药方面的自我管理行为评分均高于对照组,差异均有统计学意义(P<0.05);足部护理的自我管理行为评分低于对照组,但差异无统计学意义(P>0.05)。结论:手机App参与糖尿病管理可以提高糖尿病患者在饮食、运动、血糖监测、用药方面的自我管理行为水平,对足部护理行为水平没有改善,但仍需通过开展大样本、高质量、长期干预研究予以验证。

Abstract: Objective: To evaluate the effect of smartphone applications on self-management of patients with type 1 or type 2 diabetes mellitus. Methods: Randomized Controlled Trials (RCTs) or quasi-Randomized Controlled Trials (quasi-RCT) regarding smartphone-based intervention on self-management in patients with diabetes were retrieved. Assessment of evidence and data extraction were conducted by two reviewers independently. The Meta-analysis was conducted using RevMan 5.3 software. Results: 5 studies were included in the Meta-analysis. The results showed that the scores of self-management on diet, exercise, blood glucose monitoring and medication in the intervention groups were higher than those of control groups (P<0.05). The score of foot care was lower than that of control group, while the difference was not statistically significant (P>0.05). Conclusion: Smartphone-based intervention can effectively improve the self-management behavior of patients with diabetes mellitus in diet, exercise, blood glucose monitoring and medication, except for foot care.