医患共享决策对 2 型糖尿病患者糖化血红蛋白及自我管理能力影响的Meta分析OA
Meta-analysis on the impact of shared decision-making between physicians and patients on glycated hemoglobin levels and self-management capacity in patients with type 2 diabetes mellitus
目的 系统评价共享决策对2型糖尿病患者糖化血红蛋白及自我管理的影响.方法 检索多个数据库中有关共享决策对2型糖尿病患者效果评价的随机对照研究,检索时限均为建库至2025年7月,共纳入14篇文献,对纳入文献进行Meta分析.结果 Meta分析结果表明,共享决策可有效降低糖化血红蛋白值,提高患者的自我管理能力,提高糖尿病相关知识水平(P<0.05).结论 共享决策可改善2型糖尿病患者的血糖控制水平,降低糖化血红蛋白值,提高自我管理能力和糖尿病相关知识水平.
Objective To systematically evaluate the impact of shared decision-making on glycated haemoglobin(HbA1c)levels and self-management in patients with type 2 diabetes mellitus(T2DM).Methods A systematic review was conducted to identify randomized controlled trials across multiple databases evaluating the efficacy of shared decision-making in patients with(T2DM),with a search period spanning from database establishment until July 2025.A total of 14 studies were included,and a Meta-analysis was performed on these studies.Results Meta-analysis results demonstrated that shared decision-making effectively reduces(HbA1c)levels,enhances patients'self-management capabilities,and improves their knowledge of diabetes-related topics(P<0.05).Conclusion Shared decision-making can improve glycemic control in patients with(T2DM),reduce(HbA1c)levels,and enhance self-management skills as well as knowledge of diabetes-related conditions.
张雨婷;李明月;王静
安徽中医药大学护理学院,安徽 合肥 230038安徽中医药大学护理学院,安徽 合肥 230038安徽中医药大学第一附属医院内分泌科,安徽 合肥 230031
医药卫生
2型糖尿病医患共享决策糖化血红蛋白自我管理Meta分析
Type 2 diabetes mellitusShared decision-makingGlycated haemoglobinSelf-managementMeta-analysis
《中国现代医生》 2026 (23)
23-29,7
安徽中医药大学科研基金项目(2021yfylc55)安徽省高等学校省级质量工程项目(2022xskc056)安徽省新时代育人质量工程项目(2025zyxwjxalk260)
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