在低收入和中等收入国家 (LMICs) 进行2型糖尿病管理的同行支持:一个范围审查
Diana Sherifali1, Lilian Pinto da Silva2, Pooja Dewan3
1McMaster Evidence Review and Synthesis Team, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Global heart
|February 26, 2024
概括
在低收入和中等收入国家,对心脏代谢疾病 (包括2型糖尿病) 的同行支持干预措施并未得到一致的定义. 进一步的研究需要明确的定义和程序评估,以有效实施.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 证据表明,高收入国家在心脏代谢疾病管理中存在同行支持.
- 低收入和中等收入国家 (LMICs) 对心脏代谢疾病 (CMD) 管理,包括2型糖尿病 (T2DM) 的同行支持的应用和定义仍然不清楚.
研究的目的:
- 进行范围审查,以了解在LMIC中用于CMD管理的同行支持干预措施的使用和定义.
- 确定LMICs中现有的同行支持计划的地理分布和特征.
主要方法:
- 采用了一种全面的范围审查方法.
- 在多个数据库中进行了搜索:MEDLINE,Embase,Emcare,PsycINFO,LILACS,CDSR和CENTRAL.
- 二十八项研究符合纳入标准.
主要成果:
- 大多数研究 (67%) 是在亚洲进行的,其次是非洲 (22%) 和美洲 (11%).
- 在包括的研究中,对同行支持的定义有很大差异.
- 同行支持始终被发现能提供社会和情感上的好处,帮助个人应对挑战,促进疾病管理.
结论:
- 在定义同行支持作为LMIC内CMD管理的一个组成部分时,显著缺乏一致性.
- 未来的研究应该优先考虑建立一个明确和一致的对等支持的定义.
- 建议进行持续的项目评估,以确保在LMIC中同行支持干预措施的有效性和标准化.
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