国内“互联网+”延续性护理对糖尿病患者血糖控制效果的Meta分析

Meta-analysis of the effect of“Internet+”Continuing care on blood glucose control in diabetic patients in China

目的 系统评价“互联网+”延续性护理在糖尿病患者血糖控制中的应用效果。方法 计算机检索PubMed、web of science、CNKI、万方、VIP电子数据库与“互联网+”有关的糖尿病患者延续性护理文献,检索时限为建库至2021年4月1日。由2名研究者按纳入和排除标准独立完成筛选、提取及评价,并采用RevMan5.4软件进行Meta分析。结果 最终纳入12篇文献,共1391例患者。Meta分析结果显示“互联网+”延续性护理可有效降低糖尿病患者空腹血糖[MD=-1.54,95%CI(-1.92~-1.15),P<0.001]、餐后2小时血糖[MD=-2.95,95%CI(-3.89~-2.01),P<O.001]、糖化血红蛋白[MD=-1.41,95%CI(-1.79~-1.03),P<0.001]。结论 “互联网+”延续性护理可有效控制糖尿病患者血糖。

Objective To systematically evaluate the application effect of“Internet+”continuing care in blood glucose control of diabetic patients.Methods Continuing care literature of diabetes patients related to“Internet+”was searched from PubMed,Web of Science,CNKI,Wan Fang and VIP electronic databases by computer,and the retrieval time was from database establishment to April 1,2021.Two researchers independently completed the screening,extraction and evaluation according to the inclusion and exclusion criteria,and the Meta-analysis was performed using RevMan5.4 software.Results Twelve articles were included,including 1391 patients.Meta-analysis results showed that“Internet+”continuing care could effectively reduce fasting blood glucose[MD=-1.54,95%CI(-1.92~-1.15),P<0.001],2 hours postprandial blood glucose[MD=-2.95,95%CI(-3.89~-2.01),P<0.001],glycosylated hemoglobin,[MD=1.41,95%CI(1.79~1.03),P<0.001].Conclusion“Internet+”continuing care can effectively control the blood glucose of diabetic patients.