Effectiveness of individual strategies for the empowerment of patients with diabetes mellitus: A systematic review with meta-analysis.
Prim Care Diabetes
; 12(2): 97-110, 2018 04.
Article
en En
| MEDLINE
| ID: mdl-29162491
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
/
2_ODS3
Problema de salud:
11_delivery_arrangements
/
2_muertes_prematuras_enfermedades_notrasmisibles
Asunto principal:
Participación del Paciente
/
Autocuidado
/
Atención Dirigida al Paciente
/
Diabetes Mellitus Tipo 1
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Aspecto:
Patient_preference
Límite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Prim Care Diabetes
Asunto de la revista:
ENDOCRINOLOGIA
Año:
2018
Tipo del documento:
Article