护士指导的心理干预对 2 型糖尿病患者的糖尿病困扰、抑郁和血糖控制的效果:系统回顾与元分析》。

Hanyu Hu, Li Kuang, Halina Dai, Yu Sheng
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引用次数: 0

摘要

目的:探讨护士指导的心理干预对 2 型糖尿病(T2DM)患者的糖尿病困扰、抑郁和血糖控制的影响:方法:系统检索了七个数据库。结果测量指标为糖尿病困扰、抑郁和血红蛋白A1c(HbA1c)水平。使用 RoB 2.0 进行偏倚风险评估。使用 Review Manager 5.4 软件对数据进行综合:从 2 837 篇文章中纳入了 14 项研究。荟萃分析中汇总的五项研究显示,糖尿病患者的窘迫程度有所减轻(标准平均差 = -0.36,95% 置信区间 [-0.49, -0.24],p < 0.001),护士主导的心理干预优于对照组。不同研究对抑郁和 HbA1c 水平的干预效果不一致:结论:护士主导的心理干预具有减轻糖尿病困扰的效果,对抑郁和血糖控制也有一定的益处。未来,将护士主导的心理干预纳入常规护理将对 T2DM 患者有益。[社会心理护理与心理健康服务期刊》,xx(x),xx-xx]。
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Effectiveness of Nurse-Led Psychological Interventions on Diabetes Distress, Depression, and Glycemic Control in Individuals With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.

Purpose: To explore the effect of nurse-led psychological interventions on diabetes distress, depression, and glycemic control in individuals with type 2 diabetes mellitus (T2DM).

Method: Seven databases were systematically searched. Outcome measures were diabetes distress, depression, and hemoglobin A1c (HbA1c) level. RoB 2.0 was used for risk of bias assessment. Data were synthesized using Review Manager 5.4 software.

Results: Fourteen studies were included from 2,837 articles. Five studies pooled in the meta-analysis demonstrated reduction in diabetes distress (standard mean difference = -0.36, 95% confidence interval [-0.49, -0.24], p < 0.001), favoring nurse-led psychological interventions over controls. Effects of the interventions on depression and HbA1c level were inconsistent across studies.

Conclusion: Nurse-led psychological interventions demonstrated the effect of reducing diabetes distress and some promising benefits for depression and glycemic control. Integrating nurse-led psychological interventions into usual care will be beneficial for individuals with T2DM in the future. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
117
审稿时长
6-12 weeks
期刊介绍: The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as: • Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance • Continuing Nursing Education credits available each month
期刊最新文献
Factors Predicting Posttraumatic Stress and Anxiety in Parents Who Experienced the Great Eastern Anatolian Fault Line Earthquakes: A Community-Based Cross-Sectional Study. The Influence of Emotional Intelligence on Psychiatric Nurses' Care Behavior, and the Chain Mediating Role of Compassion Fatigue and Perception of Management. Firearm Injury Prevention and Survivor Interventions: A Scoping Review. A Composite Counternarrative of Discrimination as a Social Determinant of Health: Black College Women's Experiences of Gendered Racism. Effectiveness of Nurse-Led Psychological Interventions on Diabetes Distress, Depression, and Glycemic Control in Individuals With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.
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