[논문]한국 성인 2형 당뇨병 환자를 위한 당뇨 중재 프로그램 효과에 대한 메타 분석

박미영; 김정민

doi:10.9799/ksfan.2022.35.3.193

한국 성인 2형 당뇨병 환자를 위한 당뇨 중재 프로그램 효과에 대한 메타 분석
Meta-Analysis of the Effect of Diabetes Intervention Programs for Korean Adults with Type 2 Diabetes 원문보기

한국식품영양학회지 = The Korean journal of food and nutrition, v.35 no.3, 2022년, pp.193 - 203

박미영 (순천향대학교 교육대학원 영양교육전공) , 김정민 (순천향대학교 향설나눔대학)

Abstract ▼ AI-Helper

This study aimed to provide directions and implications for a future program by analyzing studies on diabetes programs from 2000 to 2020. Among the studies with control and experimental groups, the selected studies included ones that provided intervention to patients with diabetes and ones that contained descriptive statistics. Sixteen studies were selected to verify the effectiveness and homogeneity of the data coding meta-analysis. The overall effect size in the diabetes program combined estimate was 0.398 (95% CI: 0.268, 0.425, p=0.000). Among the dependent variables, fasting blood glucose (-0.616) and glycated hemoglobin (-0.442) showed median effect sizes, but the effect of fasting blood glucose was not statistically significant. In terms of the study design, non-randomized control trials (NRCTs) (-0.543) was more effective than randomized control trials (RCTs) (0.719). Among, the counseling and self-management program (-3.241) showed a very large effect size. Furthermore, the cognitive-behavioral (-0.828) and self-management (-0.482) programs were also found to have a positive effect on lowering fasting blood glucose. As the importance of diabetes management increases, further studies based on RCT should be actively performed, and differentiated and specialized diabetes intervention plans need to be established.

주제어

표/그림 (9)

그림 Fig. 1. The PRISMA flow chart.
표 Table 1. Effect size homogeneity test results
표 Table 2. Assessment of research quality (SIGN)
그림 Fig. 2. Funnel plot.
표 Table 3. General characteristics of the studies included in the meta-analysis
표 Table 4. Differences in effect size by RCT and NRCT
표 Table 5. Frest plot
표 Table 6. Differences in effect size by dependent variable
표 Table 7. Differences in effect size on fasting blood glucose by diabetes intervention

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