DOI QR코드

DOI QR Code

A Meta-Analysis of Korean Diabetes Patient Studies from 1977 to 2008

메타분석을 이용한 당뇨중재의 효과분석

  • 진영란 (한국보건산업진흥원) ;
  • 소은선 (서울대학교) ;
  • 이효영 (동서대학교 보건의료계열, 보건행정학과)
  • Received : 2010.06.18
  • Accepted : 2011.02.25
  • Published : 2011.03.31

Abstract

Objectives: This study analyzed the effects of diabetes interventions published in journals of nursing, medical and public health, to suggest directions for future research. Methods: A comprehensive search of three databases was undertaken (Korean studies, Riss4U, RICHIS) using research terms such as "diabetes", "nursing", "public health", "intervention" and "program". One hundred fifty four original articles were retrieved and 21 articles were finally analyzed. The analyzed articles satisfied the inclusion criteria and their effect size was calculated. Results: Most studies about diabetes intervention were published form 2001. 2005 (57.1%). The psycho-social variables, 'self-efficacy' and 'self-care' presented good effects on exercise or exercise prescription intervention. In addition, the physiological variables, 'fasting blood sugar' and 'glycosylated glucose' presented good effects on the interventions using four more elements or the interventions held in a public health center. Conclusion: Further research should consider the essential elements that benefit diabetes patients' behaviors or physiological indicators.

Keywords

References

  1. A., Hadden, D., Turner, R. C., & Holman, R. R. (2002). Association of glycaemia with macrovascular and microvascular complications of type 2dieabetes (UKPDS 35): Prospective observational study. British Medical Journal, 321(12), 405-411.
  2. Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191
  3. Brown, S. A. (1992). Meta-analysis of diabetes patient education research: Variations in intervention effects across studies. Research in Nursing and Health, 15(6), 409-419. https://doi.org/10.1002/nur.4770150603
  4. Brown, S. A., & Hedges, L. V. (1994). Predicting metabolic control in diabetes: A pilot study using meta-analysis to estimate a linear model. Nursing Research, 43(6), 362-368.
  5. Conn, V. S., Valentine, J. C., & Cooper, H. M. (2002). Interventions to increase physical activity among aging adults: A meta-Analysis. Annals of Behavioral Medicine, 24(3), 191-200. https://doi.org/10.1207/S15324796ABM2403_04
  6. Ferdinand, K. C., & Ferdinand, D. P. (2009). Cardiovascular disease disparities: Racial/ethnic factors and potential solutions. Current Cardiovascular Risk Reports, 3, 187-193. https://doi.org/10.1007/s12170-009-0030-y
  7. Funnell, M. M,, Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B. et al. (2007). National standards for diabetes self-management education. Diabetes Care, 30(6), 1630-1637. https://doi.org/10.2337/dc07-9923
  8. Gu, M. O. (1996). The effect of a self regulation education program for the promotion & maintenance of self-care behavior in the chronically ill patients. Journal of Korean Academy of Nursing, 26(2), 413-427.
  9. Jadud, A. R., Moor, R. A., Carroll, D., Jenkinon, C. J., Reynolds, D. J., Gavaghan, D. J., et al. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17, 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  10. Kibby, M., Tyc, V. L., & Mulhern, R. K. (1998). Effectiveness of psychological intervention for children and adolescents with chronic medical illness: A metaanalysis. Clinical Psychology Review, 18(1), 103-117. https://doi.org/10.1016/S0272-7358(97)00049-4
  11. Kim, C. G., & Jung, J. H. (2002). Effects of telephone consulting program on self-efficacy self-care NIDDM patients. Adult Nursing Association, 14(2), 306-314.
  12. Kim, H. S. (2005). Effects of web-based diabetic education in obese diabetic patients. Journal of Korean Academy of Nursing, 35(5), 924-930. https://doi.org/10.4040/jkan.2005.35.5.924
  13. Ko, C. H., & Gu, M. O. (2004). The effects of a diabetic educational program for coping with problem situation on self-efficacy, self care behaviors, coping and glycemic control in type 2 diabetic patients. Journal of Korean Academy of Nursing, 34(7), 1205-1214 https://doi.org/10.4040/jkan.2004.34.7.1205
  14. Korea Centers for Disease and Control and Prevention (2007). Korea National Health and Nutrition Examination Survey, the third survey in-depth analysis report: The part of medical examination.
  15. Korea National Statistical Office (2008). National statistical combination, An Annual Report of Death Cause Statics.
  16. Lee, H. J., & Park, K. Y. (2005). Body weight, cardiovascular risk factors, and self-efficacy of diabetic control among obese type 2 diabetic patients. Journal of Korean Academy of Nursing, 35(5), 787-797. https://doi.org/10.4040/jkan.2005.35.5.787
  17. Lee, H. J., Park, K. Y., Park, H. S., & Kim, I. J.(2005). The effects of problem solving nursing counseling and intensified walking exercise on diabetic self-care, coping strategies, and glycemic control among clients with DM type 2. Journal of Korean Academy of Nursing, 35(7), 1314-1324. https://doi.org/10.4040/jkan.2005.35.7.1314
  18. Lee, S. W., & Shin, S. R.(2008). The effects of resistance exercise program for elders with type 2 diabetes on the self care, stress and HbA1c. Adult Nursing Association, 20(3), 431-442.
  19. Miller, S. T., Schlundt, D. G., Larson, C., Reid, R., Pichert, J. W., Hargreaves, M., Brown, A., McClellan, L., & Marrs, M. (2004). Exploring ethnic disparities in diabetes, diabetes care, and lifestyle behaviors: The Nashville REACH 2010 Community Baseline Survey. Ethnicity and Diseases, 14, 38-45.
  20. Nielsen, P. J., Hafdahl, A. R., Conn, V. S., LeMaster, J. W., & Brown. S. A. (2006). Meta-analysis of the effect of exercise interventions on fitness outcomes among adults with type 1 and type 2 diabetes. Diabetes Research and Clinical Practice, 74, 111-120. https://doi.org/10.1016/j.diabres.2006.03.033
  21. Norris, S. L., Engelgau, M. M., & Narayan, K. M. V. (2001). Effectiveness of selfmanagement training in type 2 diabetes. Diabetes Care, 24(3), 561-587. https://doi.org/10.2337/diacare.24.3.561
  22. Norris, S. L., Nichols, P. J., Caspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack L. et al. (2002). Increasing diabetes selfmanagement education in community settings: A systematic review. American Journal of Preventive Medicine, 22(4S), 39-66. https://doi.org/10.1016/S0749-3797(02)00424-5
  23. Norris, S. L., Zhang, X., Avenell, A., Gregg, E., Bowman, B., Serdula, M., et al. (2004). Long-term effectiveness of lifestyle and behavioral weight loss interventions in adults with type 2 diabetes: A Metaanalysis. American Journal of Medicine, 117, 762-774. https://doi.org/10.1016/j.amjmed.2004.05.024
  24. OECD (2009). OECD Health Data 2009-Statistics and indicators for 30 countries, online and on CD-ROM. Paris: OECD Publishing.
  25. Oh, S. S. (2002). Theory and practice of meta-analysis. Konkuk University Publication.
  26. Park, H. S., Lee, Y. M., Choi, Y. O., Bae, E. S., Na, J. H., & Kim, M. S. (2001). Effect of diabetes education program on glucose metabolism and lipid metabolism, self-efficacy in NIDDM patients. Korean Journal of Rehabilitation Nursing, 4(2), 165-178.
  27. Park, Y. K., Park, H. S., & Seo, J. M. (2007). The effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with diabetes mellitus type II. Adult Nursing Association, 19(5), 683-693.
  28. Snethen, J. A., Broome, M. E., & Cashin, S. E. (2006). Effective weight loss for overweight children: A meta-analysis of intervention studies. Journal of Pediatric Nursing, 21(1), 45-56. https://doi.org/10.1016/j.pedn.2005.06.006
  29. Stratton, I. M., Adler, A. I., Neil, H. A. W., Matthews, D. R., Manley, S. E., Cull, C., et al. (2004). The effectiveness of webbased vs. non-web-based interventions: A meta-analysis of behavioral change outcomes. Journal of Medical Internet Research, 6(4), e40. https://doi.org/10.2196/jmir.6.4.e40
  30. Yoo, J. S., & Lee, S. J. (2005). The effect of a comprehensive lifestyle modification program on glycemic control and body composition in patients with type 2 diabetes. Korean Society of Nursing Science, 35(3), 546-554.
  31. Yoo, J. S., Lee S. J., Lee H. C., Kang, E. S., Kim, S. H., & Park, E. J. (2004). The effects of short term comprehensive life style modification program on glycemic metabolism, lipid metabolism and body composition in type 2 diabetes mellitus. Journal of Korean Academy of Nursing, 34(7), 1277-1287. https://doi.org/10.4040/jkan.2004.34.7.1277
  32. Yoon, K. H., Lee, J. H., Kim, J. W., Cho, J. H., Choi, Y. H., Ko, S. H., et al. (2006). Epidemic obesity and type 2diabetes in Asia. The Lancet, 368(9548), 1681-1688. https://doi.org/10.1016/S0140-6736(06)69703-1