跨理论模型联合动机访谈对糖尿病患者干预效果的Meta分析
延边大学, 护理学院, 吉林延吉 133002
| 摘 要： | 目的：评价跨理论模型（Transtheoretical Model, TTM）联合动机访谈（motivational interviewing，MI）在糖尿病患者中的应用效果。方法：检索PubMed等9个数据库及临床试验注册平台，搜集有关跨理论模型联合动机访谈法在糖尿病患者中的应用的随机对照试验，检索时限建库至2023年5月。由2名研究者独立筛选文献、提取资料并进行质量评价，使用RevMan5.4和Stata17.0进行Meta分析。结果 共纳入10篇文献，752例患者。Meta分析结果显示，跨理论模型联合动机访谈法可以降低能够降低糖尿病患者空腹血糖（fasting blood glucose, FBG）[SMD=-0.65, 95%CI (-8.04，-0.45), P < 0.01]，餐后2h血糖（2-hour postprandial blood glucose, 2hPG）[SMD=-0.44, 95%CI (-0.74, -0.13)，P < 0.01]，糖化血红蛋白（glycosylated hemoglobin, HbA1c）[SMD=-0.77, 95%CI (-1.03, -0.52), P < 0.01]，可以提高治疗依从性[RR=1.23, 95%CI (1.10, 1.38), P < 0.01]，自我管理能力[SMD=1.69, 95%CI (1.25, 2.12), P < 0.01]，生活质量[WMD=10.31, 95%CI (8.93, 11.69), P < 0.01]。结论：跨理论模型联合动机访谈能够降低糖尿病患者FBG、2hPG、HbA1c，提高治疗依从性、自我管理能力、生活质量，由于纳入的研究数量和质量有限，上述结论仍需通过高质量的研究来验证。 |
| 关 键 词： | 跨理论模型; 动机访谈法; 糖尿病患者; 血糖; 自我管理能力; 生活质量 |
| DOI： | 10.57237/j.nhres.2023.04.001 |
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收稿日期: 2023-08-14
接受日期: 2023-09-15
在线出版日期: 2023-09-19
Meta-analysis of Intervention Effect of Trans-theoretical Model Combined with Motivational Interviewing of Diabetes Patients
School of Nursing, Yanbian University, Yanji 133002, China
| Abstract: | Objective To evaluate the application effect of cross theoretical model combined motivation interview in diabetes patients. Methods Nine databases including PubMed and clinical trial registration platforms were searched to collect randomized controlled trials related to the application of cross theoretical model combined motivation interview in diabetes patients. The search period was from the database establishment to May 2023. Two researchers independently screened literature, extracted data, and conducted quality evaluations, using RevMan5.4 and Stata17.0 for meta-analysis. The results included a total of 10 articles and 752 patients. Meta-analysis results show that the cross theoretical model combined with motivational interview can reduce fasting blood glucose in diabetes patients [SMD=-0.65, 95% CI (-8.04, -0.45), P<0.01], blood glucose in 2h after meal [SMD=-0.44, 95% CI (-0.74, -0.13), P<0.01], glycosylated hemoglobin [SMD=-0.77, 95% CI (-1.03, -0.52), P<0.01], and improve treatment compliance [RR=1.23, 95% CI (1.10, 1.38), P<0.01], Self-management ability [SMD=1.69, 95% CI (1.25, 2.12), P<0.01], quality of life [WMD=10.31, 95% CI (8.93, 11.69), P<0.01]. Conclusion Cross theoretical model combined with motivational interview can reduce FBG, 2hPG, HbA1c in diabetes patients, and improve treatment compliance, self-management ability, and quality of life. Limited by the number and quality of included studies, the above conclusions need to be verified by more high-quality studies. |
| Keywords: | Trans-theoretical Model; Motivational Interviewing; Diabetes Patients; Blood Sugar; Self-management Ability; Quality of Life |
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