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Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Liu, Fang
Guan, Yuzhu
Li, Xia
Xie, Yuting
He, Jing
Zhou, Zhi-Guang
Li, Lezhi
المصدر
International Journal of Endocrinology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-02-26
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Aim.
This systematic review aimed at investigating the effectiveness of structured education (SE) in improving glycemic control and psychological outcomes in adolescent and adult patients with type 1 diabetes.
Methods.
Electronic databases (EMBASE, Medline, PubMed, and the Cochrane Library) and the reference lists of included studies were searched from the beginning of the database through April 2019.
Randomized controlled trials comparing SE with a control condition and reporting a change in glycosylated hemoglobin (HbA1c) level were included.
The primary outcome was glycemic control measured by HbA1c.
Secondary outcomes were diabetes-related distress, well-being, depression, and quality of life.
Results.
Eighteen studies representing 2759 patients were included.
Twelve studies targeted adolescents and six targeted adults.
Adolescent patients who were randomized to the intervention group did not show significant improvement of HbA1c in the short (SMD = −0.04; 95% CI: −0.14 to 0.06; P=0.41), medium (SMD = −0.03; 95% CI: −0.13 to 0.07; P=0.55), and long term (SMD = 0.04; 95% CI: −0.16 to 0.25; P=0.66) or of diabetes self-efficacy (SMD = −0.17; 95% CI: −0.33 to 0.00; overall effect P=0.05).
However, SE was effective in reducing HbA1c levels in adult patients with inadequate baseline control (HbA1c higher than 7.5%) (SMD = −0.52; 95% CI: −0.86 to −0.17; P=0.003).
SE significantly improved the well-being and psychological distress of adult patients but had no effect on the extent of depression.
Conclusions.
Development of more efficient SE programs according to the patients’ personal characteristics is needed.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Liu, Fang& Guan, Yuzhu& Li, Xia& Xie, Yuting& He, Jing& Zhou, Zhi-Guang…[et al.]. 2020. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology،Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Liu, Fang…[et al.]. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology No. 2020 (2020), pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Liu, Fang& Guan, Yuzhu& Li, Xia& Xie, Yuting& He, Jing& Zhou, Zhi-Guang…[et al.]. Different Effects of Structured Education on Glycemic Control and Psychological Outcomes in Adolescent and Adult Patients with Type 1 Diabetes: A Systematic Review and Meta-Analysis. International Journal of Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1170685
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1170685
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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