基于信息技术的自我管理干预对2型糖尿病患者效果的Meta分析

目的系统评价基于信息技术的自我管理干预对2型糖尿病(T2DM)患者的效果。方法计算机检索PubMed、The Cochrane Library、EMbase、万方数据库(WangFang Data)、中国生物医学数据库(CBM)、中国维普全文数据库(VIP)和中国知网全文数据库(CNKI)。搜集基于信息技术的自我管理干预对2型糖尿病患者效果的随机对照试验(RCT),检索时限均从建库至2018年5月。由2名研究人员独立筛选文献、提取资料并对纳入研究进行偏倚风险评估,使用RevMan 5.3软件进行数据分析。结果纳入文献23篇,共3902例患者。Meta分析结果显示,基于信息技术的自我管理干预可使T2DM患者糖化血红蛋白(HbA1c)下降0.39%[95%CI(-0.51,-0.27),P<0.00001],但对患者生活质量和自我效能的影响未见改善。结论使用信息技术对患者进行自我管理干预,可改善2型糖尿病患者的血糖控制,但对生活质量和自我效能的影响尚需更多研究验证。

Impact of information technology-based self-management intervention on patients on type 2 diabetes mellitus: A Meta-analysis

Objective To systematically review the impact of information technology-based self-management intervention on patients with type 2 diabetes mellitus(T2DM).Methods We searched electric databases including PubMed,The Cochrane Library,EMbase,Wang Fang Data,CBM,VIP and CNKI.Randomized controlled trials(RCT)relating to the information technology-based intervention for T2DM patients were collected from database building to May 2018.Two researchers independently screened literature,extracted data and assessed the risk of bias of included studies.RevMan 5.3 was used to analyze the data.Results A total of 23 RCTs involving 3902 patients were included.The results of meta-analysis showed that information technology-based intervention was significantly reduced HbA1c by 0.39%[95%CI(-0.51,-0.27),P<0.00001]in T2DM patients compared to routine care.However,its effects on quality of life and self-efficacy need to be further studied.Conclusion Information technology-based self-management intervention is effective in improving glycemic control in T2DM patients.However,more studies are needed to examine the effects of information technology-based intervention on quality of life and self-efficacy.