The Effects of Diabetes Self-Management Education on Quality of Life for Persons With Type 1 Diabetes: A Systematic Review of Randomized Controlled Trials.
The Effects of Diabetes Self-Management Education on Quality of Life for Persons With Type 1 Diabetes: A Systematic Review of Randomized Controlled Trials.
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DOI：
10.1177/26350106211070266
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发表时间：
2022-04
影响因子：
1.9
通讯作者：
Kavookjian, Jan
中科院分区：
文献类型：
--
作者：
Davidson, Patricia;LaManna, Jacqueline;Davis, Jean;Ojeda, Maria M.;Hyer, Suzanne;Dickinson, Jane K.;Todd, Andrew;Hammons, Tamara M.;Fahim, Shahariar Mohammed;McDaniel, Cassidi C.;McKee, Cynthia A.;Clements, Jennifer N.;Yehl, Kirsten;Litchman, Michelle L.;Blanchette, Julia E.;Kavookjian, Jan
有充分证据表明，慢性疾病，如糖尿病，会影响生活质量（QoL）。在制定和评估糖尿病自我管理教育支持干预措施时，生活质量评估是必不可少的。本系统综述的目的是评估研究中的证据和差距，以及糖尿病自我管理教育对1型糖尿病（T1DM）患者生活质量的影响。对2007年1月1日至2020年3月31日期间发表的英语语言研究进行了系统综述，使用了改进的Cochrane综述方法。研究纳入随机对照试验（RCT），参与者有或没有护理者患有T1DM，单独进行糖尿病自我管理教育（DSME）干预或描述ADCES7™自我护理行为的组成部分，生活质量是主要或次要结局。文章的选择采用了三层审查程序。对保留的文章进行偏倚风险评估。19篇文章报道了17项随机对照试验，符合纳入标准，其中7项研究将生活质量作为主要结局，10项作为次要结局。七项研究发现DMSE对参与者或家庭照顾者的生活质量结果有显著影响，其影响因参与者人群、生活质量工具的选择（通用与糖尿病特异性）、干预类型、干预时间和干预者类型而异。DSME有可能影响T1DM患者的生活质量。需要使用更标准化的方法进行研究，以描述影响T1DM患者及其护理人员一生中生活质量的更广泛因素的影响。
It is well-documented that chronic conditions, such as diabetes, impact quality of life (QoL). QoL assessment is essential when developing and evaluating diabetes self-management education support interventions. The aim of this systematic review was to evaluate the evidence and gaps in the research and the impact of diabetes self-management education on quality of life outcomes in persons with type 1 diabetes mellitus (T1DM). A systematic review of English language studies published between Jan 1, 2007 – March 31, 2020 was conducted using a modified Cochrane review method. Studies were included if they were randomized controlled trials (RCT), participants had T1DM with or without caregivers, a diabetes self-management education (DSME) intervention alone or a component(s) of the ADCES7™ Self-Care Behaviors was described, and QoL was a primary or secondary outcome. A three-tiered review process was utilized for selecting articles. Retained articles were assessed for risk-of-bias. Nineteen articles, reporting on 17 RCTs, met inclusion criteria of which seven studies reported QoL as the primary outcome and ten as a secondary outcome. Seven studies detected significant impact of DMSE on QoL outcomes in either the participants or family caregivers, which varied in participant populations, selection of QoL tools (generic verses diabetes-specific), intervention type, intervention length, and type of interventionist. DSME has the potential to influence QoL outcomes in people with T1DM. Research using more standardized methods are needed to delineate impact on a broader range of factors that influence QoL for those living with T1DM across the lifespan and their caregivers.
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影响因子：
16.2
作者：
Chiang JL;Kirkman MS;Laffel LM;Peters AL;Type 1 Diabetes Sourcebook Authors
通讯作者：
Type 1 Diabetes Sourcebook Authors
影响因子：
3
作者：
Fisher L;Hessler D;Polonsky W;Strycker L;Masharani U;Peters A
通讯作者：
Peters A
影响因子：
3.5
作者：
Bradley, C;Todd, C;Plowright, R
通讯作者：
Plowright, R
影响因子：
16.2
作者：
Agiostratidou, Gina;Anhalt, Henry;Weinzimer, Stuart A.
通讯作者：
Weinzimer, Stuart A.
影响因子：
3.6
作者：
Ellis, Deborah A.;Carcone, April Idalski;Moltz, Kathleen
通讯作者：
Moltz, Kathleen