期刊
PRIMARY CARE DIABETES
卷 12, 期 2, 页码 97-110出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.pcd.2017.10.004
关键词
Empowerment; Diabetes mellitus; Patient-centered care; Self-care
资金
- UFSJ (Federal University of Sao Joao Del-Rei)
- USP (University of Sao Paulo)
- Fundacao de Amparo a Pesquisa de Minas Gerais (FAPEMIG)
- Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (Coordination of Improvement of Higher Level Personnel) (CAPES)
Aims: To identify and evaluate the effectiveness of individual empowerment strategies in patients with diabetes mellitus (DM). Methods: A systematic review was performed in the PubMed, Scopus, Science Direct and BVS. For meta-analysis and evaluation of Cochrane Risk and Bias, Revman V 5.2 software was used. Results: Eleven studies of 1073 publications met the inclusion criteria. The strategies used were individual consultations, phone calls, sessions via a website and use of a booklet. Glycemic Hemoglobin (HbA1c) was used to evaluate the effectiveness of the strategies, and 45.4% of the studies also used the Diabetes Empowerment Scale. Five studies (45.5%) showed significant improvements in HbA1c reduction, improvements in self-efficacy (18.2%), knowledge levels of DM (18.2%), quality of life (18.2%). However, after meta-analysis, no statistically significant improvement was found for HbA1c. Conclusion: This systematic review showed that individual strategies for DM empowerment were not effective in reducing HbA1c, despite contributing to improvements in psychosocial parameters. Therefore, individual strategies need to be reviewed so that they become effective in DM control. (C) 2017 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
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