国内自我管理对糖尿病患者血糖影响的Meta分析  

Domestic self-management of blood glucose in diabetic patients Meta-analysis

作　　者：杨金菊[1] 李燕燕[1] 祁俊菊[1] 杨敏[1] 张娜[2] 谌绍林 陈历健[1] 

机构地区：[1]重庆医药高等专科学校护理学院,重庆401331 [2]陕西省唐都医院护理部,西安710038 [3]湖南医药学院外科护理教研室,怀化41800

出　　处：《安徽卫生职业技术学院学报》2016年第1期146-150,共5页Journal of Anhui Health Vocational & Technical College

基　　金：重庆医药高等专科学校人文社科重点研究项目(编号:ygz2014202)

摘　　要：目的：评价国内自我管理对糖尿病患者血糖影响的效果。方法：计算机检索维普数据库、万方数据库、中国知网数据库,检索时间为各数据库建库至2015年7月,同时辅助其他检索方式,纳入自我管理对糖尿病患者干预的随机对照试验（RCT）,根据Cochrane Handbook 5.0质量评价标准评价,采用Rev Man 5.0软件进行统计分析。结果：纳入17篇合格文献,包含2489例病例。分析结果显示：与糖尿病传统干预方式组相比,自我管理教育试验组患者空腹血糖在干预后3个月、6个月、12个月与相应对照组比较,差异具有统计学意义;干预后18个月与相应对照组比较差异无统计学意义。自我管理教育试验组患者餐后2小时血糖在干预后3个月与相应对照组比较,差异无统计学意义;6个月、12个月、18个月与相应对照组比较,差异具有统计学意义。结论：自我管理教育（干预6~12个月）对糖尿病患者空腹血糖和餐后2小时血糖的干预效果较好,值得临床推广。发表性偏倚的识别结果表明,该次Meta分析的结果稳定、可靠。Objective： Evaluation of the effect of domestic self-management of blood glucose in diabetic patients.Methods： We searched Wei pu Database, Wanfang database, Chinese Academic Journal, retrieval time for building a database for each database to July 2015,while supporting other search methods to include self-management intervention for patients with diabetes randomized controlled trial（RCT）, according to Cochrane Handbook 5.0 quality evaluation criteria to evaluate, using Rev Man 5.0 software for statistical analysis.Results：A total of 17 qualified literature,including 2,489 cases of cases. The results show： the traditional intervention compared Diabetes self-management education in patients with fasting blood glucose in the experimental group after the intervention 3 months,6 months,12 months with the corresponding control group,a statistically significant difference;18 months with the corresponding control groups showed no significant difference.Self-management patient education postprandial blood glucose 2 hours after the test group in the intervening three-month comparison with corresponding control group,the difference was not statistically significant;6months,12 months,18 months later,and the corresponding control group,a statistically significant difference.Conclusion：Self-management education（Intervention6~12 months） intervention proves effective in diabetic patients in terms of fasting plasma glucose and 2-hour postprandial blood sugar,worthy of promotion.Identification of publication bias showed that the results of this Meta-analysis are stable and reliable.

关 键 词：自我管理 空腹血糖 餐后 2 小时血糖 

分 类 号：R587.1[医药卫生—内分泌]