基于微信平台延续健康管理对2型糖尿病应用效果的Meta分析  

Meta-analysis of the effect of continuing health management on type 2 diabetes mellitus based on WeChat platform

作　　者：原佳铭[1] 邹小丽[2] 李辉 毕洪英[4] Yuan Jiaming;Zou Xiaoli;Li Hui;Bi Hongying(Health Management(Physical Examination)Center,Sino-Japanese Friendship Hospital of Jilin University,Changchun 130033,China;Orthopedics Department,Sino-Japanese Friendship Hospital of Jilin University,Changchun 130033,China;Jilin Province Changchun Erdao District Maternal and Child Health and Family Planning Service Center,Changchun 130031,China;Supply Room,Hospital of Hepatobiliary Disease of Jilin Province,Changchun 130000,China)

机构地区：[1]吉林大学中日联谊医院健康管理(体检)中心,长春130033 [2]吉林大学中日联谊医院骨科,长春130033 [3]长春市二道区妇幼保健计划生育服务中心,130031 [4]吉林省肝胆病医院供应室,长春130000

出　　处：《中国实用护理杂志》2020年第19期1512-1518,共7页Chinese Journal of Practical Nursing

摘　　要：目的通过Meta分析探讨基于微信平台延续健康管理对2型糖尿病应用效果。方法检索中国知网(CNKI)、万方、维普、Pubmed、Elsevier Science Direct、CINAHL、Web of Science、Cochrane Library等数据库中关于微信延续健康管理对2型糖尿病应用效果的临床随机对照试验(RCT),使用Cochrane偏倚风险评估工具对纳入文章进行方法学质量评价,通过RevMan 5.2统计软件对资料进行Meta分析,对结局指标进行异质性分析并评估其均数差(MD)、比值比(OR)。结果本研究共纳入了9篇文献中的1133例2型糖尿病患者。结果显示微信健康管理组对比常规院内健康教育组,空腹血糖(MD=-0.98,95%CI-1.14^-0.83,P<0.01),餐后2 h血糖(MD=-1.27,95%CI-1.56^-0.97,P<0.01),糖化血红蛋白(MD=-0.69,95%CI-0.82^-0.56,P<0.01),总胆固醇(MD=-0.54,95%CI-0.65^-0.44,P<0.01),三酰甘油(MD=-0.50,95%CI-0.67^-0.32,P<0.01),低密度脂蛋白(MD=-0.52,95%CI-0.74^-0.30,P<0.01)水平的差异均有统计学意义。结论微信延续健康管理干预可有效控制2型糖尿病患者的血糖和血脂的水平,提高患者的自我管理能力,但由于纳入文献数量较少影响其准确性,还需大样本的高质量随机对照试验作为论证。Objective To evaluate the effect of continuing health management on type 2 diabetes mellitus based on WeChat platform by Meta-analysis.Methods Clinical randomized controlled trials connected with WeChat continuing health management for type 2 diabetes was searched by database including China Knowledge Network,Wanfang,Weipu,PubMed,Elsevier Science Direct,CINAHL,Web of Science,Cochrane Library.Cochrane bias risk assessment tool was used for evaluating the methodological quality of the included literatures.Meta-analysis of the data extracted from the included literature was performed by RevMan5.2 statistical software to assess heterogeneity of the outcome indicators and extract value of mean difference(MD)and odds ratio(OR).Results A total of 1133 patients with type 2 diabetes from 9 researches were enrolled in the study.The results showed that the WeChat continuing health management group had statistically significant differences in levels of fasting blood glucose(MD value was-0.98,95%CI-1.14--0.83,P<0.01),postprandial blood glucose(MD value was-1.27,95%CI-1.56--0.97,P<0.01),glycated hemoglobin(MD value was-0.69,95%CI-0.82--0.56,P<0.01),total cholesterol(MD value was-0.54,95%CI-0.65--0.44,P<0.01),triglyceride(MD value was-0.50,95%CI-0.67--0.32,P<0.01)and low-density lipoprotein(MD value was-0.52,95%CI-0.74--0.30,P<0.01)compared with the control group.Conclusions WeChat continuing health management intervention can effectively control the blood sugar and blood lipid levels of patients with type 2 diabetes mellitus and improve their self-management ability.For the deficiencies of little included references,the result still required a large-sample and high-quality randomized controlled trials to enhance accuracy.

关 键 词：微信 糖尿病 2型 META分析 健康管理 血糖 血脂 

分 类 号：R473.5[医药卫生—护理学]