西方国家老年人糖尿病自我管理教育 (DSME):范围审查
Pilar Camargo-Plazas1, Madison Robertson1, Beatriz Alvarado2
1School of Nursing, Queen's University, Kingston, ON, Canada.
PloS one
|August 9, 2023
概括
糖尿病自我管理教育 (DSME) 计划对老年人有效,但需要适应. 纳入老年人的偏好和经验对于成功,持续的糖尿病护理结果至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病是一种日益严重的全球健康问题,特别是在老年人群中.
- 有效的疾病自我管理教育 (DSME) 对于改善健康结果和尽量减少糖尿病患者的并发症至关重要.
- 关于西方国家老年人对DSME的具体偏好,文献有限.
研究的目的:
- 进行范围审查,对西方国家65岁及以上的个人对DSME的现有证据进行映射.
- 在DSME计划中发现有关老年人的偏好和需求的文献上的差距.
主要方法:
- 使用JBI方法进行了范围审查.
- 对10个数据库的系统搜索确定了2000年至2022年间发表的英语论文.
- 资格选涉及标题/摘要审查,然后由四名独立审查员进行全文评估.
主要成果:
- 在2,397项初步研究中,有44项被纳入最终分析.
- 大多数DSME干预措施是有效的,改善了临床和行为结果以及生活质量.
- 很少有研究将老年人的观点纳入计划设计,实施或评估中.
结论:
- 虽然DSME计划是有效的,但需要适应老年人的文化背景,健康素养和偏好.
- 纳入老年人的生活经验对于开发有效和可持续的DSME计划至关重要.
- 未来的研究应该优先考虑将老年人的声音纳入DSME的开发和评估中.
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