电话随访对糖尿病患者血糖控制效果的Meta分析

Efficacy of telephone follow-up on glycemic control in patients with diabetes mellitus：a Meta-analysis

目的 评价电话随访对糖尿病患者血糖控制效果的影响.方法 计算机检索Cochrane library、JBI循证护理数据库、PubMed、Medline、EMBASE、EBSCO、OVID、Springer、中国知网、中国生物医学文献数据库、中国科技期刊数据库和万方数据库,同时手工检索相关专业资料,搜集符合纳入标准的随机对照试验.检索时间为各数据库建库至2016年6月.对文献进行质量评价后,采用RevMan 5.2进行数据分析.结果 共纳入12项随机对照试验,共1905例患者.Meta分析结果显示,与常规护理相比,电话随访能显著降低糖化血红蛋白水平（加权均数差为-0.49,95%可信区间-0.52^-0.46,P〈0.01）、空腹血糖水平（加权均数差为-0.99,95%可信区间-1.16^-0.83,P〈0.01）.结论 电话随访能改善糖尿病患者的血糖控制效果,值得在临床实践中推广应用.

Objective To evaluate the efficacy of telephone follow-up on glycemic control in patients with diabetes mellitus. Methods Randomized clinical trials that assessed the effectiveness of telephone follow-up in patients with diabetes mellitus were selected in the databases of Cochrane library, JBI, PubMed, Medline, EMBASE, EBSCO, OVID, Springer, China National Knowledge Infrastructure, China Biomedical Literature Database, VIP , Wangfang Data. At the same time manual retrieval of relevant professional information to collect randomized clinical trials that met the inclusion criteria. The searching time was from database establishment to June 2016. RevMan5.2 software was used to analyze the data after quality assessment. Results A total of 12 randomized controlled trials were included in a total of 1905 patients. Meta-analyses showed that, compared with the conventional nursing group, the telephone follow-up could significantly reduce the level of glycosylated hemoglobin （weighted mean difference was-0.49, 95% confidence interval was-0.52--0.46, P〈0.01）, the level of fasting blood glucose （weighted mean difference was-0.99, 95% confidence interval was-1.16--0.83, P〈0.01）. Conclusions Telephone follow-up can improve blood glucose control in patients with diabetes, it is worth to be popularized in clinical practice.