手机App对糖尿病患者自我管理行为水平影响的Meta分析.pdfVIP

专科管理 Advanced Nursing Practice 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 [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。 [关键词] 糖尿病；手机App；自我管理；Meta分析 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2017.08.023 The effect of smartphone applications on self-management of patients with diabetes mellitus: a Meta-analysis / ZHANG Shuguang, LI Yu, YAN Jie, CHEN Xuan // Nursing School of Nanjing University of Chinese Medicine, Nanjing, 210023, China /// Chinese Nursing Management-2017,17(8): 1106-1111 [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