应用智能手机对2型糖尿病患者管理效果的系统评价

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摘要目的系统评价应用智能手机对2型糖尿病患者管理的效果。方法检索PubMed、Cochrane、CINAL、JBI、Embase、CBM、CNKI、万方数据库、维普数据库中应用智能手机对2型糖尿病患者血糖影响的随机对照研究，检索时限为建库至2019年11月15日。通过文献筛查、文献质量评价，应用RevMan 5.3软件进行数据整合。结果共纳入19篇文献，2376例患者。试验组糖化血红蛋白明显低于对照组[MD（95%CI）：-0.54（-0.68，-0.40）]，患者生存质量明显高于对照组[MD（95%CI）：0.26（0.06，0.47）]，差异有统计学意义（P ＜ 0.05）。亚组结果显示：干预时长3个月，两组患者糖化血红蛋白比较，差异无统计学意义（P ＞ 0.05）；试验组干预6个月[MD（95%CI）：-0.42（-0.63，-0.22）]及10～12个月[MD（95%CI）：-0.63（-0.85，-0.41）]糖化血红蛋白低于对照组，差异有统计学意义（P ＜ 0.05）。结论应用智能手机对2型糖尿病患者血糖进行自我管理能改善患者血糖控制效果，提升患者生活质量。

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	黄厚强1 郭声敏2 陈佩云3 郑思琳1▲

关键词 ：智能手机, 2型糖尿病, 慢病管理, 系统评价

Abstract：Objective To systematic evaluate the effect of using smart phones on the management of patients with type 2 diabetes. Methods PubMed, Cochrane, CINAL, JBI, Embase, CBM, CNKI, Wanfang database, VIP database for randomized controlled studies were searched on the effect of smartphones on blood glucose in patients with type 2 diabetes, and the search time limit was from the construction of the database to November 15, 2019. Through literature screening and literature quality evaluation, RevMan 5.3 software was used for data integration. Results A total of 19 articles and 2376 patients were included. Glycated hemoglobin in the test group was significantly lower than that in the control group (MD[95%CI]：-0.54[-0.68，-0.40]), while the patient′s quality of life was significantly higher than the control group(MD[95%CI]：0.26[0.06，0.47]), and the differences were statistically significant (P ＜ 0.05). The results of the subgroups showed that the after three months of intervention, and the difference between the two groups of glycosylated hemoglobin was not statistically significant (P ＞ 0.05); the glycosylated hemoglobin of experimental group after intervention for six months (MD[95%CI]：-0.42[-0.63，-0.22]) and 10 to 12 months (MD[95%CI]：-0.63[-0.85，-0.41]) were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion The smartphone-based management for patients with type 2 diabetes can improve the management effect of glycosylated hemoglobin and the quality of life.

Key words： Smartphone Type 2 diabetic patients Chronic disease management Meta-analysis

基金资助:四川省科技厅科技计划项目（2016GFWS0140）；
四川省泸州市科技局科技计划项目（2015-S-44）；
西南医科大学青年项目（2019ZQN032）。

通讯作者: ▲通讯作者

作者简介: 黄厚强（1990.10-），男，硕士；研究方向：循证护理。

引用本文:

黄厚强1 郭声敏2 陈佩云3 郑思琳1▲. 应用智能手机对2型糖尿病患者管理效果的系统评价[J]. 中国医药导报, 2020, 17(23): 154-159,172.
HUANG Houqiang1 GUO Shengmin2 CHEN Peiyun3 ZHENG Silin1▲. Systematic review of effectiveness of smartphone-based self-management interventions in patients with type 2 diabetes. 中国医药导报, 2020, 17(23): 154-159,172.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2020/V17/I23/154

[1] Barry M，Brenner，Mark E，et al. Effects of Losartan on Renal and Cardiovascular Outcomes in Patients with Type 2 Diabetes and Nephropathy [J]. N Engl J Med，2001，345（12）：861-869.
[2] World Health Organization，2016. Global Report on Diabetes. http：//apps.who.int/iris/bitstream/handle/.
[3] Shrivastava SR，Shrivastava PS，Ramasamy J. Role of self- care in management of diabetes mellitus [J]. J Diabetes Metab Disord，2013，12（1）：11-15.
[4] 徐俊峰，安妮，周为文，等.《中国循证医学杂志》发表的干预类系统评价/Meta分析方法学质量评价[J].中国循证医学杂志，2013，13（5）：605-611.
[5] Higgins JPT，Altman DG，Gotzsche PC，et al. The Cochrane Collaboration′s tool for assessing risk of bias in randomized trials [J]. BMJ，2011，343（2）：d5928-d5928.
[6] Agboola S，Jethwani K，Lopez L，et al. Text to Move：A Randomized Controlled Trial of a Text-Messaging Program to Improve Physical Activity Behaviors in Patients With Type 2 Diabetes Mellitus [J]. J Med Internet Res，2016，18（11）：e307.
[7] Anzaldo-Campos MC，Contreras S，Vargas-Ojeda A，et al. Dulce Wireless Tijuana：A Randomized Control Trial Evaluating the Impact of Project Dulce and Short-Term Mobile Technology on Glycemic Control in a Family Medicine Clinic in Northern Mexico [J]. Diabetes Technol Ther，2016，18（4）：240-251.
[8] Arora S，Peters AL，Burner E，et al. Trial to Examine Text Message-Based mHealth in Emergency Department Patients With Diabetes（TExT-MED）：A Randomized Controlled Trial [J]. Ann Emerg Mede，2014，63（6）：745-754.
[9] Fang R，Deng X. Electronic messaging intervention for management of cardiovascular risk factors in type 2 diabetes mellitus：A randomised controlled trial [J]. J Clin Nurs，2018，27（3/4）：612-620.
[10] Fortmann AL，Gallo LC，Garcia MI，et al. Dulce Digital：an mHealth SMS-based intervention improves glycemic control in Hispanics with type 2 diabetes [J]. Diabetes Care，2017，40（10）：1349-1355.
[11] Goodarzi M，Ebrahimzadeh I，Rabi A，et al. Impact of distance education via mobile phone text messaging on knowledge，attitude，practice and self efficacy of patients with type 2 diabetes mellitus in Iran [J]. J Diabetes，2012， 11（1）：10.
[12] Islam SMS，Niessen LW，Ferrari U，et al. Effects of mobile phone SMS to improve glycemic control among patients with type 2 diabetes in Bangladesh：a prospective，parallel-group，randomized controlled trial [J]. Diabetes Care，2015，38（8）：112-113.
[13] Kim HS. A randomized controlled trial of a nurse short-message service by cellular phone for people with diabetes [J]. Int J Nurs Stud，2007，44（5）：687-692.
[14] Kleinman NJ，Shah A，Shah S，et al. Improved medication adherence and frequency of blood glucose self-testing using an health platform versus usual care in a multisite randomized clinical trial among people with type 2 diabetes in India [J]. Telemed JE Health，2017，23（9）：733-740.
[15] Lim S，Kang SM，Kim KM，et al. Multifactorial intervention in diabetes care using real time monitoring and tailored feedback in type 2 diabetes [J]. Acta Diabetol，2016， 53（2）：189-198.
[16] Orsama AL，L?覿hteenm?覿ki J，Harno K，et al. Active Assistance Technology Reduces Glycosylated Hemoglobin and Weight in Individuals With Type 2 Diabetes：Results of a Theory-Based Randomized Trial [J]. Diabetes Technol Ther，2013，15（8）：662-669.
[17] Peimani M，Rambod C，Omidvar M，et al. Effectiveness of short message service-based intervention（SMS）on self-care in type 2 diabetes：A feasibility study [J]. Prim Care Diabetes，2016，10（4）：251-258.
[18] Quinn CC，Clough SS，Minor JM，et al. WellDoc mobile diabetes management randomized controlled trial：change in clinical and behavioral outcomes and patient and physician satisfaction [J]. Diabetes Technol Ther，2008， 10（3）：160-168.
[19] Tamban C，Isip-Tan IT，Jimeno C. Use of short message services（sms）for the management of type 2 diabetes mellitus： a randomized controlled trial [J]. JAFES，2017， 28（2）：143.
[20] Torbj?覬rnsen A，Jenum AK，Sm?覽stuen MC，et al. A Low-Intensity Mobile Health Intervention With and Without Health Counseling for Persons With Type 2 Diabetes，Part 1：Baseline and Short-Term Results From a Randomized Controlled Trial in the Norwegian Part of Renewing Health [J]. JMIR Mhealth Uhealth，2014，11：2（4）：e52.
[21] Waki K，Fujita H，Uchimura Y，et al. DialBetics：a novel smartphone-based self-management support system for type 2 diabetes patients [J]. J Diabetes Sci，2016，8（2）：209-215.
[22] Wongrochananan S，Tuicomepee A，Buranarach M，et al. The effectiveness of interactive multi-modality intervention on self-management support of type 2 diabetic patients in Thailand：a cluster-randomized controlled trial [J]. Int J Diabetes Dev Ctries，2015，35（2）：230-236.
[23] Yoo HJ，Park MS，Kim TN，et al. A ubiquitous chronic disease care system using cellular phones and the internet [J]. Diabetes Med，2009，26（6），628-635.
[24] 乔娟，郝彦斐，燕增奎.基于智能手机的青中年2型糖尿病患者健康管理的效果观察[J].医疗卫生装备，2014，35（12）：89-91.
[25] 孙晓敏，汪虹，许方蕾，等.个性化健康教育对2型糖尿病患者自我管理行为及血糖控制效果的影响[J].中国护理管理，2015，15（2）：179-182.
[26] 高希震，蒋丹玛，陈碧华，等.基于网络的远程医疗在家庭病床2型糖尿病患者综合管理中的应用概述[J].中外医学研究，2018，16（15）：174-176.
[27] 荣蓉，孙斐.电子信息化在糖尿病患者规范使用胰岛素中的应用[J].现代医院，2018，18（2）：237-239.
[28] CNNIC互联网研究.第43次CNNIC中国互联网报告发布[J].中国广播，2019（4）：48.
[29] 乔娟，郝彦斐，燕增奎.基于智能手机的青中年2型糖尿病患者健康管理的效果观察[J].医疗卫生装备，2014（12）：89-91.
[30] 姚林华，温晓红，王菲菲，等.微信联合常规治疗对糖尿病患者幽门螺杆菌根除效果及血糖控制的影响[J].中国现代医生，2019，57（20）：112-115.
[31] 梁柳桢，闵珊，罗敏娟，等.互联网结合中医特色慢病管理对2型糖尿病患者血糖的影响[J].中国医药科学，2020，10（2）：187-190.
[32] 李莹，谭进，钟代笛，等.中国糖尿病自主管理应用程序现状分析[J].北京生物医学工程，2016，35（3）：283-289.
[33] Jonkman NH，Schuurmans MJ，Groenwold RHH，et al. Identifying components of self-management interventions that improve health-related quality of life in chronically ill patients：systematic review and meta-regression analysis [J]. Patient Educ Couns，2016，99（7）：1087-1098.