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Interventions for self-management of type 2 diabetes:An integrative review

International Journal of Nursing Sciences 2019年第1期6卷 70-91页

作者： Roger Carpenter toni dichiacchio Kendra Barker West Virginia University School of Nursing MorgantownWV26506USA Faculty Practice&Community Engagement West Virginia UniversityMorgantownWV26506USA

Background:Type 2 diabetes mellitus has been identified as one of the most challenging chronic illnesses to *** the management of diabetes is mainly accomplished by patients and families,selfmanagement has become the mainstay of diabetes ***,a significant proportion of patients fail to engage in adequate self-management.A priority research question is how do interventions affect the self-management behaviors of persons with Type 2 diabetes?Purpose/Objectives:The purpose of this integrative review is to provide a summary and critique of interventions that support diabetes self-management in the patient with TypeⅡdiabetes ***:An integrative review design,with a comprehensive methodological approach of reviews,allowing inclusion of experimental and non-experimental ***:A comprehensive search was conducted via Ebscohost using databases of Academic Search Complete,CINAHL,Health Source:Nursing/Academic Edition,MEDLINE,PsycArtiCLES,and *** final number of papers used for this review were:motivational interviewing(6),peer support/coaching(10),problem solving therapy(3),technology-based interventions(30),lifestyle modification programs(7),patient education(11),mindfulness(3),and cognitive behavioral therapy(5).Results:Studies were examined from seventeen countries including a broad range of cultures and *** interventions have shown mixed results in all interventional categories,many studies do support small to modest improvements in physiologic,behavioral,and psychological outcome *** heterogeneity of interventions *** most commonly reported physiologic measure was HbA1c *** measures were collected mostly at 6 and 12 *** of most research was limited to one ***:Research exploring the impact of interventions for self-management has made major contributions to the care of persons with type 2 diabetes,from offering suggestions for improving care,to stim

关键词： Type 2 diabetes Interventions Research Integrative review

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