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Systematic review of effectiveness of smartphone-based self-management interventions in patients with type 2 diabetes |
HUANG Houqiang1 GUO Shengmin2 CHEN Peiyun3 ZHENG Silin1▲ |
1.Department of Nursing, the Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou 646000, China;
2.Department of Rehabilitation, the Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou 646000, China;
3.College of Nursing, Southwest Medical University, Sichuan Province, Luzhou 646000, China |
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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.
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