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Effectiveness of resilience-promoting interventions in adolescents with diabetes mellitus: a systematic review and meta-analysis.
Wu, Yi; Zhang, Yi-Yun; Zhang, Ya-Ting; Zhang, Hui-Jing; Long, Tian-Xue; Zhang, Qi; Huang, Jing; Li, Ming-Zi.
Afiliación
  • Wu Y; Peking University Health Science Center, 38 Huayuan Road, Haidian District, Beijing, 100191, China.
  • Zhang YY; School of Nursing, Peking University, Beijing, China.
  • Zhang YT; Peking University Health Science Centre for Evidence-Based Nursing, A Joanna Briggs Institute Affiliated Group, Beijing, China.
  • Zhang HJ; Peking University Health Science Center, 38 Huayuan Road, Haidian District, Beijing, 100191, China.
  • Long TX; School of Nursing, Peking University, Beijing, China.
  • Zhang Q; Peking University Health Science Centre for Evidence-Based Nursing, A Joanna Briggs Institute Affiliated Group, Beijing, China.
  • Huang J; Peking University Health Science Center, 38 Huayuan Road, Haidian District, Beijing, 100191, China.
  • Li MZ; School of Nursing, Peking University, Beijing, China.
World J Pediatr ; 19(4): 323-339, 2023 Apr.
Article en En | MEDLINE | ID: mdl-36534296
BACKGROUND: This study aimed to analyze the efficacy of resilience-promoting interventions among adolescents and youth aged 10-24 years with any type of diabetes. METHODS: A systematic literature search was performed using the PubMed, Web of Science, Embase, Cochrane Library, CINAHL, and PsycINFO databases from inception to May 25, 2022. The Cochrane risk of bias tool (version 2) was used to assess the quality of the included studies. A meta-analysis was performed to calculate the pooled effects of resilience-promoting interventions. RESULTS: Nineteen articles were included covering an overall sample of 2048 adolescents with diabetes. When analyzing the effectiveness of resilience-promoting interventions, hemoglobin A1c (HbA1c) at six months [mean difference = - 0.47, 95% confidence interval (CI) = - 0.83 to - 0.12, P = 0.009] after the intervention was improved. However, long-term (≥ 12 months) improvement in HbA1c was not significant. In addition, comparing the control group, there were significant differences in the effect size for stress [standardized mean difference (SMD) = - 0.87, 95% CI = - 1.25 to -0.48, P < 0.05], self-efficacy (SMD = 0.50, 95% CI = 0.02-0.98, P = 0.04) and quality of life (SMD = 0.27, 95% CI = 0.03-0.51, P = 0.03). CONCLUSIONS: Resilience-promoting intervention is a promising way for adolescent diabetes management to improve HbA1c, stress, self-efficacy, and quality of life. Incorporating resilience-promoting components into diabetes education and re-enforcing these contents every six months are recommended for implementation in clinical practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Diabetes Mellitus Tipo de estudio: Systematic_reviews Aspecto: Patient_preference Límite: Adolescent / Humans Idioma: En Revista: World J Pediatr Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Diabetes Mellitus Tipo de estudio: Systematic_reviews Aspecto: Patient_preference Límite: Adolescent / Humans Idioma: En Revista: World J Pediatr Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza