2型糖尿病病人饮食决策辅助工具最佳证据总结  

Summary of the best evidence on dietary decision aids for patients with type 2 diabetes mellitus

作　　者：刘东玲 秦月兰[1] 李珍 申微 鄢军 张斯齐 LIU Dongling;QIN Yuelan;LI Zhen;SHEN Wei;YAN Jun;ZHANG Siqi(Hunan Provincial People′s Hospital(The First Affiliated Hospital of Hunan Normal University),Hunan 410005 China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院),湖南410005

出　　处：《循证护理》2024年第1期1-7,共7页Chinese Evidence-Based Nursing

基　　金：湖南省卫生健康委科研计划项目,编号:D202314016989。

摘　　要：目的:整合2型糖尿病(T2DM)病人饮食决策辅助工具的最佳证据,为临床护理人员提供参考。方法:根据“6S”证据模型检索临床决策网、指南网、英文数据库、中文数据库、国内外糖尿病协会网站中关于T2DM病人饮食决策的相关文献,并对各类研究的文献质量评价后进行证据提取及汇总。结果:共纳入10篇文献,包括指南4篇、系统评价1篇、质性研究1篇、随机对照试验(RCT)4篇,依据现有证据总结出目标评估、核心要素、呈现形式、健康教育、结局指标5个方面共28条T2DM病人饮食决策辅助工具最佳证据。结论:总结的T2DM病人饮食决策辅助工具最佳证据为临床护理人员编制及应用相关工具提供了循证依据,护理人员可结合临床情况和病人饮食决策情况开展实践研究。Objective:To integrate the best evidence on dietary decision-making aids for patients with type 2 diabetes mellitus(T2DM)and provide a reference for clinical nurses.Methods:According to the"6S"evidence model,relevant literature on dietary decision-making of T2DM patients was retrieved from clinical decision-making websites,guideline websites,English databases,Chinese databases,and diabetes association websites in China and abroad.All the evidence was extracted and aggregated after evaluating the literature quality of various studies.Results:A total of 10 documents were included,including 4 guidelines,1 systematic review,1 qualitative study,and 4 randomized controlled trials(RCTs).A total of the 28 best pieces of evidence on dietary decision-making aids for T2DM patients in 5 aspects were summarised:target assessment,core elements,presentation format,health education,and outcome indicators.Conclusions:The summarised best evidence on dietary decision-making aids for T2DM patients provides an evidence-based basis for clinical nurses to compile and apply related tools.Nurses can conduct practical research based on clinical scenarios and patients′dietary decision-making situations.

关 键 词：2型糖尿病 饮食决策 决策辅助 病人决策辅助工具 证据总结 循证护理 

分 类 号：R473.5[医药卫生—护理学]