Family interventions to improve diabetes outcomes for adults.
Family interventions to improve diabetes outcomes for adults.
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DOI：
10.1111/nyas.12844
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发表时间：
2015-09
影响因子：
5.2
通讯作者：
Burnet DL
中科院分区：
文献类型：
--
作者：
Baig AA;Benitez A;Quinn MT;Burnet DL
糖尿病自我护理是成年糖尿病患者疾病管理的一个重要方面。由于家庭成员可以在患者的疾病管理中发挥重要作用，因此让他们参与自我护理干预可能会对患者的糖尿病结局产生积极影响。我们系统地回顾了1994年至2014年发表的针对成年糖尿病患者的家庭干预措施，并评估了其对患者糖尿病结局和家庭参与程度的影响。我们发现了26项描述成人以家庭为基础的糖尿病干预的研究。在一系列患者人群和环境中进行干预。家庭参与的程度因研究而异。我们发现，在所有研究中，患者的自我效能、感知的社会支持、糖尿病知识和糖尿病自我护理均有改善。由于研究设计、干预类型、结局报告和家庭参与的异质性，很难确定家庭参与糖尿病干预如何影响患者的临床结局。未来的研究应明确描述家庭在干预中的作用，评估家庭参与的质量和程度，并比较有无家庭参与的患者结局。
Diabetes self-care is a critical aspect of disease management for adults with diabetes. Since family members can play a vital role in a patient’s disease management, involving them in self-care interventions may positively influence patients’ diabetes outcomes. We systematically reviewed family-based interventions for adults with diabetes published from 1994 to 2014 and assessed their impact on patients’ diabetes outcomes and the extent of family involvement. We found 26 studies describing family-based diabetes interventions for adults. Interventions were conducted across a range of patient populations and settings. The degree of family involvement varied across studies. We found evidence for improvement in patients’ self-efficacy, perceived social support, diabetes knowledge, and diabetes self-care across the studies. Owing to the heterogeneity of the study designs, types of interventions, reporting of outcomes, and family involvement, it is difficult to determine how family participation in diabetes interventions may affect patients’ clinical outcomes. Future studies should clearly describe the role of family in the intervention, assess quality and extent of family participation, and compare patient outcomes with and without family involvement.