2型糖尿病患者接受和承诺治疗的有效性:系统性审查和元分析
Miaomiao Wang1,2, Qiao Liu1, Zhengrong Zhu1
1School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
Worldviews on evidence-based nursing
|March 28, 2024
概括
接受和承诺疗法 (ACT) 显著改善了2型糖尿病患者的血糖控制,自我护理和心理健康. 这种疗法增强了糖尿病接受和自我有效性,为管理T2DM提供了有价值的方法.
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 行为医学是一种行为医学.
背景情况:
- 接受和承诺治疗 (ACT) 促进心理灵活性和以目标为导向的行为.
- ACT对2型糖尿病 (T2DM) 患者的血糖控制,自我护理和心理状态的影响仍在调查中.
研究的目的:
- 系统地评估ACT在T2DM患者中的有效性.
- 确定最佳的干预特征,以改善患者的治疗结果.
主要方法:
- 随机对照试验的系统审查和元分析.
- 从创立到2023年6月,搜索了9个数据库.
- 评估了研究资格,提取的数据和使用Cochrane风险偏差2工具评估的质量.
主要成果:
- 有712名参与者的10项研究表明,ACT显著改善了血糖控制 (MD:0.95%),自我护理行为 (MD:1.86),糖尿病接受 (MD:7.80),自我有效性 (SMD:1.04),焦虑 (SMD:-1.15),抑郁 (SMD:-1.10).
- 在糖尿病困扰方面,观察到有利但无意义的改善.
- >5个会议,个性化格式,理论基础和多学科投入的干预措施产生了更好的结果.
结论:
- 在T2DM患者中,ACT对血糖控制,自我护理,接受,自我有效性,焦虑和抑郁有显著的益处.
- 需要进一步的大规模,严格设计的试验与代表性样本来证实这些发现.
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