初级卫生保健机构成人2型糖尿病患者的教育干预范围检讨

Yasmin Alejandra Castillo-Merino, Camila Ospina-Ayala, Natalia Esquivel Garzón, Alba Luz Rodríguez-Acelas, Wilson Cañon-Montañez
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引用次数: 0

摘要

目标。综合初级卫生保健机构对成人2型糖尿病(DM2)进行教育干预的研究证据。方法。根据乔安娜布里格斯研究所和PRISMA宣言的建议,进行了范围审查。协议注册号为INPLASY20215009。检索在:MEDLINE(通过PubMed), EMBASE, Web of Science, LILACS和灰色文献中进行。结果。纳入了17项研究;大多数是随机临床试验,其中65%在高收入国家进行,所有研究共有5656名参与者。结果显示了来自教育干预的四大类:治疗依从性(对治疗满意度的显著结果);糖尿病患者的自我护理和自我管理(提高自我效能、增强能力和疾病意识);糖尿病患者血糖控制(显著降低糖化血红蛋白);护理在DM2(重组行为指导)患者教育干预中的作用。结论。本综述的结果表明,在初级卫生保健的背景下,对DM2患者的教育干预可以对治疗依从性、自我控制和疾病知识产生积极影响。此外,有可能确定多学科保健小组的影响,其中护理专业人员在教育干预措施的构建和实施方面的相关性在获得更好的保健结果方面得到了证明。
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Educational Interventions in Adults with Type 2 Diabetes Mellitus in Primary Health Care Settings. A Scoping Review
Objective. To synthesize the evidence of studies with educational interventions for adults with type-2 diabetes mellitus (DM2) in primary health care settings. Methods. A scoping review was conducted following the recommendations by the Joanna Briggs Institute and by the PRISMA declaration. The protocol was registered in INPLASY20215009. The search was carried out in: MEDLINE (via PubMed), EMBASE, Web of Science, LILACS, and grey literature. Results. Seventeen studies were included; most were randomized clinical trials of which 65% were conducted in high-income countries, and all the studies represented 5 656 participants. The results showed four big categories derived from educational interventions: therapeutic adherence (significant results on the satisfaction with the treatment); self-care and self-management in diabetes (improvement in self-efficacy, empowerment, and disease awareness); glycemic control in diabetes (significant results in reducing glycosylated hemoglobin); nursing and its role in the educational interventions on patients with DM2 (guidance in restructuring behaviors). Conclusion. The findings of this review suggest that educational interventions on patients with DM2 within the setting of primary health care can impact positively on therapeutic adherence, self-control, and knowledge of the disease. Moreover, it was possible to identify the influence of multidisciplinary health teams, where the relevance of nursing professionals in the construction and implementation of educational interventions is evidenced in obtaining better health results.
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来源期刊
Investigacion y Educacion en Enfermeria
Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery
CiteScore
2.60
自引率
5.00%
发文量
34
审稿时长
14 weeks
期刊介绍: The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.
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