摘要
目的系统评价社区干预对糖尿病患者遵医行为的影响。方法检索中文数据库,收集社区干预对糖尿病患者遵医行为影响的随机对照试验,根据纳入和排除标准选取文献,提取资料并评价试验质量,采用Rev Man4.2软件进行Meta分析。结果纳入文献12篇,干预组1265例和对照组1100例。干预组饮食控制(OR=4.57)、药物治疗(OR=5.29)、自我监测(OR=3.67)、合理运动(OR=2.92)四项遵医行为评价指标均显著优于对照组,差异有统计学意义(P<0.01)。干预组空腹血糖值低于对照组,差异亦有统计学意义(WMD=-2.03,P<0.01)。结论社区干预能够提高糖尿病患者的遵医行为,使其血糖得到较好的控制,但社区干预的方式和内容需要进一步更加系统的研究。
Objective To systematically assess the influence of community intervention on diabetic patients′ compliance behavior.Methods Computer retrieval was conducted to search for randomized controlled studies of the influence of community intervention on diabetic patients′ compliance behavior.The quality of included studies were evaluated and were analyzed by using the Rev Man 4.2 software.Results Totally 12 trials involving 1 265 patients in intervention group and 1 100 patients in control group were included.The compliance behaviors in diet controlling （OR=4.57）,medication （OR=5.29）,self-monitoring （OR=3.67）,and reasonable exercise （OR=2.92） were significantly better in the intervention group than in the control group（P0.01）;and the level of fasting blood glucose was significantly lower in d the intervention group than in the control group （WMD=-2.03,P0.01）.Conclusion Community intervention could improve the compliance behavior of diabetic patients so that their glucose could be controlled better.However,methods and content of community intervention need to be studied more systematically.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第25期2834-2836,2849,共4页
Chinese General Practice
关键词
社区干预
糖尿病
遵医行为
META分析
Community intervention
Diabetes mellitus
Compliance behavior
Meta-analysis
