在文化多元的人群中治疗糖尿病困扰的心理社会干预:系统的范围审查
Sakuni Amanda Weerasinghe1, Grace Wang1,2, Zahra Izadikhah1
1School of Psychology and Wellbeing, University of Southern Queensland, Ipswich, Queensland, Australia.
BMJ open
|October 21, 2025
概括
文化定制的心理社会干预措施可以减少不同人群的糖尿病困扰. 基于赋权的方法显示出希望,但需要对文化适应和特定种族群体进行更多研究.
科学领域:
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 糖尿病困扰对管理糖尿病的个人来说是一个重大负担,特别是在文化多元化的社区内.
- 心理社会干预,当文化定制,通过解决特定的信念和语言障碍,有潜力减轻糖尿病的痛苦.
研究的目的:
- 进行范围审查,绘制糖尿病困境心理社会干预措施的可用性,特征和影响,在文化多元的人群中进行范围审查.
- 发现当前关于文化适应和特定人口群体的证据基础中的差距.
主要方法:
- 根据阿克西和奥马利框架进行范围审查.
- 搜索了五个数据库 (PubMed,PsycINFO,Cochrane图书馆,CINAHL,Web of Science) 的同行评审出版物,从2013年到2024年.
- 包括的研究集中在来自不同文化背景的2型糖尿病成年人身上,接受心理社会干预,不包括照顾者,提供者,土著/土著人和纯生理生活方式干预.
主要成果:
- 包括13项研究,所有这些研究都将糖尿病教育与心理社会策略相结合,主要是短期和面对面的.
- 大多数干预措施都显示了糖尿病患病率的小到中度降低,基于赋权的方法产生了短期的好处,而较长的干预措施显示了逐渐的改善.
- 干预措施对糖尿病管理知识,自我效能,自我管理行为和社会支持产生了积极的影响,尽管同行领导和基于家庭的干预措施显示出混合的结果.
结论:
- 心理社会干预应纳入糖尿病护理计划.
- 在语言之外的文化适应和专注于南亚和中东人口的研究中存在差距.
- 未来的研究应该优先考虑多地点的RCT,纵向设计和精细的干预措施,以提高可访问性,文化相关性和长期可持续性.
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