|
|
Effect evaluation of community health education on quality of life in diabetic patients:A meta-analysis |
WANG Xingzhou*, ZHAO Yan, WANG Han
|
*Graduate Institute,Anhui University of Chinese Medicine,Hefei,Anhui 230038, China |
|
|
Abstract Objective To evaluate the effects of community health education on the quality of life of diabetic patients. Methods The databases of CNKI,Wanfang,CBMdisc,VIP,PubMed,Embase and Google Scholar were searched for the literatures about the effects of community health education on the quality of life of diabetic patients published from the time the databases established to August 1st,2019. Standardized mean difference(SMD)was used as a indicator for the meta-analysis. Results A total of 739 articles were retrieved,and 20 articles were finally included,with 1 727 cases in the experimental group and 1 645 cases in the control group. The results of the meta-analysis showed that compared with the traditional intervention methods and no intervention,community health education had obviously better effects on physiological function(SMD=0.67,95%CI:0.29-1.05,P<0.05),psychological function(SMD=0.73,95%CI:0.40-1.06,P<0.05)and social relationship(SMD=0.69,95%CI:0.33-1.04,P<0.05). The results were stable according to sensitivity analysis. No publication bias was found by Egger's test. Conclusion Community health education can effectively improve the quality of life of diabetic patients in physiological function,psychological function and social relationship.
|
Received: 19 August 2019
Revised: 05 October 2019
Published: 10 January 2020
|
|
|
|
|
[1] 张启新. 糖尿病健康教育研究进展[J]. 继续医学教育,2012, 26(3):59-61. [2] ADACHI M,YAMAOKA K,WATANABC M,et al.Effects of lifestyle education program for type 2 diabetes patients in clinics: study design of a cluster randomized trial[J]. BMC Public Health,2010,30(10):742. [3] American Diabetes Association.Standards of medical care in diabetes-2010[J]. Diabetes Care,2010,33(1):11-61. [4] 闫安,穆颖,时治津. 社区医疗干预对老年高血压患者生活质量的影响[J]. 中国临床保健杂志, 2014,17(2):173-175. [5] 刘胜兰,叶墨,娜荷芽. 北京市某城区社区糖尿病患者生活质量影响因素研究[J]. 中国健康教育,2018,34(12):1081-1085. [6] OH E G,BANG S Y,HYUN S S,et al.Effects of a 6-month lifestyle modification intervention on the cardiometabolic risk factors and health-related qualities of life in women with metabolic syndrome[J]. Science Direct, 2010,59(7):1035-1043. [7] VADSTRUP E S,FRLICH A,PERRILD H,et al. Health-related quality of life and self-related health in patients with type 2 diabetes: effects of group-based rehabilitation versus individual counselling[J]. Health Qual Life Outcomes,2011,9(110):2-8. [8] MASH R J,RHODE H,ZWARENSTEIN M,et al.Research: educational and psychological issues effectiveness of a group diabetes education programme in under-served communities in South Africa: a pragmatic cluster randomized controlled trial[J]. Diabet Med,2014,987-993. [9] 丁丹晨. 社区健康教育对老年2型糖尿病患者社会支持及生活质量的影响[J]. 中国初级卫生保健,2012,26(8):26-27. [10] 于凤霞. 多元化健康教育对糖尿病患者自我管理能力和生活质量的影响[J]. 临床与病理杂志,2015,35(8):1542-1546. [11] 侯莉,尹秋生,刘伟,等. 行为改变教育对糖尿病肾病病人自尊、睡眠质量和生活质量的影响[J]. 护理研究,2016,30(2):238-240. [12] 原花丽. 自我管理能力干预对2型糖尿病患者依从性及生活质量的影响[J]. 中国农村卫生事业管理,2018,28(3):336-338. [13] 吴雯,刘军,赵燕萍. 糖尿病俱乐部对改善糖尿病患者生活质量的影响及相关因素分析[J]. 中国初级卫生保健,2011,25(12):81-83. [14] 李崇武,何梅,何才通. 采用联合健康教育方式提高糖尿病患者生存质量[J]. 卫生职业教育,2010,28(3):132-133. [15] 江万燕,王清涛,于春华,等. 医院社区联动自我管理教育模式对糖尿病患者治疗效果的影响研究[J]. 糖尿病新世界,2017,20(18):191-192. [16] 洪旭星,周光清,周霞,等. 医院-社区联动健康教育模式对社区糖尿病患者血糖指标和生活质量的干预效果[J]. 河北医药,2018,40(2):243-250. [17] 胡澄,贺秀君,江怡. 加强患者家属健康教育对糖尿病患者生活质量的影响[J]. 中医药管理杂志,2018,26(5):182-183. [18] 许新华,蔡玉萍,李健,等. 糖尿病健康教育支持小组对改善患者依从性和生活质量的做法及效果[J]. 实用医药杂志,2018, 35(4):355-357. [19] 贾桂花. 三段式健康教育模式对糖尿病合并高血压患者疾病知识认知程度、服药依从性及生活质量的影响[J]. 齐鲁护理杂志,2018,24(11):90-92. [20] 邓红艳,田玉凤,黄骥,等. 三甲医院联合社区医院健康教育对糖尿病居民生存质量的影响[J]. 护理研究,2008,22(9):2533-2534. [21] 邓红艳,田玉风,李平,等. 医院社区联合健康教育对糖尿病患者生存质量和就医行为的影响[J]. 护理学杂志,2008,23(21):4-6. [22] 郭玉敏,田秀清,孙晶晶. 基于跨理论模式的健康教育对老年2型糖尿病患者血糖管理及生活质量的影响[J]. 中医药临床杂志,2018,30(9):1745-1747. [23] 陆军. 赋能教育模式对老年糖尿病患者血糖控制、自我管理行为及生活质量的影响[J]. 护理实践与研究,2017,14(11):34-36. [24] 陈宇. KTH整合式干预模式在社区2型糖尿病病人中的应用及对病人生活质量的影响[J]. 中西医结合心脑血管病杂志,2016, 14(9):2333-2335. [25] 陈淑侠,慕景兰,孔艳华,等. 心理干预及健康教育对2型糖尿病患者生活方式、心理负担及生活质量的影响[J]. 中国健康心理学杂志,2018,26(11):1625-1630. [26] 李杨,黄丹,刘彤,等. 老年糖尿病患者生活质量相关因素的研究现状[J]. 中国老年学杂志,2015,35(14):4090-4092. [27] 张玲,陈济安,谢莎丽,等. 重庆市居民糖尿病防治健康素养及需求调查[J]. 预防医学,2018,30(6):581-585. [28] 侯秀丽,陈丽芬,包妮娜,等. 老年2型糖尿病患者自我管理小组干预效果评价[J]. 预防医学,2019,31(10):1065-1067. [29] 谢少燕. 社区干预对糖尿病治疗依从性和疗效的作用[J]. 吉林医学,2014,35(16):3624-3625. [30] 曹霞. 健康教育在糖尿病社区慢病管理中的作用[J]. 中国社区医师,2018,34(27):158-160. [31] 耿男,高亚,李戟,等. 16种教育方法联合药物对2 型糖尿病患者血糖和糖化血红蛋白影响的网状Meta分析[J]. 药品评价,2017,34(2):137-140. [32] 张爽,马红梅,吴凌云,等. 国内社区健康教育对2 型糖尿病患者治疗依从性效果的Meta分析[J]. 中国医药导报,2017,10(19):20-25. [33] 宋彦李青,王竹影,李国,等. 社区健康教育对糖尿病患者血糖控制效果的meta 分析[J]. 南京体育学院学报(自然科学版),2016,15(1):35-42. |
|
|
|