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同伴支持在2型糖尿病成年患者自我效能和生活质量方面的有效性:系统性评价和荟萃分析
Author(s) -
Kong LingNa,
Hu Ping,
Yang Li,
Cui Dan
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13870
Subject(s) - meta analysis , medicine , quality of life (healthcare) , peer support , randomized controlled trial , type 2 diabetes , medline , self efficacy , intervention (counseling) , systematic review , diabetes mellitus , psychology , nursing , political science , law , psychotherapist , endocrinology
Background Peer support has been suggested as a promising approach for diabetes management. No conclusive evidence exists on the effects of peer support on self‐efficacy and quality of life in adults with type 2 diabetes. Objective To assess the effectiveness of peer support on self‐efficacy and the quality of life in adults with type 2 diabetes. Design A systematic review and meta‐analysis of randomized controlled studies. Data sources We searched PubMed, Embase, Cochrane Central Register of Controlled Trials and Allied Health Literature database guide for relevant literatures from inception to 30 September 2017. Review methods The review was conducted according to the guidelines of Cochrane Collaboration. The outcomes were self‐efficacy and quality of life. The standardized mean difference and 95% confidence intervals were calculated for pooled results. Results A total of 15 studies met the inclusion criteria. The pooled results revealed that peer support did not significantly improve self‐efficacy and quality of life in adults with type 2 diabetes, but significantly improved self‐efficacy and quality of life in studies with intervention duration ≤6 months. There was no evidence of publication bias. Conclusion Peer support intervention did not lead to better effects on the improvement in self‐efficacy and quality of life among adults with type 2 diabetes. However, peer support with intervention duration not more than 6 months had positive effects on self‐efficacy and quality of life. More high‐quality studies with large sample size are needed to support or counter the results.