文献类型：期刊文献

英文题名：Are home visits an effective method for diabetes management? A quantitative systematic review and meta-analysis

作者：Han, Lin[1,2];Ma, Yuxia[2,3];Wei, Suhong[4];Tian, Jinhui[5];Yang, Xiaochun[6];Shen, Xiping[7];Zhang, Jun[8];Shi, Yuexian[9]

第一作者：Han, Lin

通信作者：Han, L[1];Han, L[2]

机构：[1]Gansu Prov Hosp, Nursing Dept, Lanzhou, Gansu, Peoples R China;[2]Lanzhou Univ, Sch Nursing, Lanzhou, Gansu, Peoples R China;[3]Northwest Univ Nationalities, Med Coll, Lanzhou, Gansu, Peoples R China;[4]Gansu Prov Hosp, Dept Endocrinol, Lanzhou, Gansu, Peoples R China;[5]Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou, Gansu, Peoples R China;[6]Gansu Prov Hosp, Dept Cardiol, Lanzhou, Gansu, Peoples R China;[7]Lanzhou Univ, Sch Publ Hlth, Lanzhou, Gansu, Peoples R China;[8]Gansu Univ Chinese Med, Sch Med, Lanzhou, Gansu, Peoples R China;[9]Chinese Peoples Armed Police Force, Med Coll, Affiliated Hosp, Nursing Dept, Tianjin, Peoples R China

第一机构：Gansu Prov Hosp, Nursing Dept, Lanzhou, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Nursing Dept, Lanzhou, Gansu, Peoples R China;[2]corresponding author), Lanzhou Univ, Sch Nursing, Lanzhou, Gansu, Peoples R China.

年份：2017

卷号：8

期号：5

起止页码：701

外文期刊名：JOURNAL OF DIABETES INVESTIGATION

收录：;Scopus(收录号：2-s2.0-85015159690);WOS:【SSCI(收录号:WOS:000409264200011)，SCI-EXPANDED(收录号:WOS:000409264200011)】；

基金：This study was supported by the National Nature Science Foundation of China (71363004; 71663002) and the Fundamental Research Funds for the Central Universities (grant 31920150046; lzujbky-2016-ct14).

语种：英文

外文关键词：Diabetes; Home visit; Meta-analysis

摘要：Aims/IntroductionPrevious reviews have revealed uncertainty regarding the effectiveness of home visit interventions for managing diabetes. Therefore, we carried out a quantitative systematic review and meta-analysis to evaluate the effects of home visit interventions among patients with diabetes. Materials and MethodsWe searched various electronic databases (PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, Wanfang and Chinese scientific full-text databases) from their inception until March 2016. We included randomized controlled trials that included patients with diabetes, and evaluated the effects of home visit programs on glycated hemoglobin concentrations. Two reviewers independently used the Cochrane Collaboration methods to assess the included studies' risk of bias and quality. ResultsWe included seven randomized controlled trials with 686 participants. Compared with the usual care, the home visit group showed a greater reduction in glycated hemoglobin concentrations (mean difference -0.79% [-9mmol/mol], 95% confidence interval [CI]: -0.93 to -0.25% [11 to -3mmol/mol]; P<0.05; I-2=0%), systolic blood pressure (mean difference -5.94mmHg, 95% confidence interval -11.34 to -0.54mmHg) and diastolic blood pressure (mean difference -6.32mmHg, 95% confidence interval -12.00 to -0.65mmHg). Furthermore, home visits improved quality of life, high-density lipoprotein, low-density lipoprotein, total triglycerides and self-management. However, there were no significant differences between the two groups in their bodyweight, total cholesterol, body mass index and self-efficacy. ConclusionHome visits were associated with improved glycemic control and reduced cardiovascular risk factors, which shows that it is an effective method for diabetes management.