Effectiveness of group visits for elderly patients with type 2 diabetes in an urban community in China

Yang, Li; Li, Liangxiu; Cui, Dan; Wu, Yanni; Qiu, Lili; Qin, Junhua; Zhu, Xuemei

doi:10.1016/j.gerinurse.2019.10.001

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…Our included studies had a total sample of 5976 older adults (intervention group: n=3510; usual care group: n=2466). Each intervention arm comprised a self-management approach that fit into the five categories of Chodosh’s framework: 1 study - medical care ( 25 ); 3 studies - psychological emphasis ( 26 – 28 ); 4 studies – tailoring ( 29 – 32 ); 4 studies - group setting ( 33 – 36 ); and 5 studies emphasized feedback ( 37 – 41 ). The characteristics of the included studies may be found in Supplementary Table 3 .…”

Section: Resultsmentioning

confidence: 99%

The effects of diabetes self-management programs on clinical and patient reported outcomes in older adults: a systematic review and meta-analysis

Alliston,

Jovkovic,

Khalid

et al. 2024

Front. Clin. Diabetes Healthc.

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ObjectivesWith diabetes self-management continuing to become more complex for older adults, self-management programs have been shown to support this population in meeting their multifaceted medical needs. Building on our previous systematic review and meta-analysis, we aimed to update the literature on the effectiveness of diabetes self-management programs and investigate the impact of specific self-management interventions on clinical and patient-reported outcomes.MethodsWe updated our literature search in the following databases: Medline, EMBASE, PsychINFO, CINAHL and Cochrane Database of Randomized Controlled Trials from November 2013 to July 2023 for studies that may fit our inclusion criteria. Two independent reviewers screened and extracted data from the included group of studies.ResultsA total of 17 studies with 21 comparison arms met the inclusion criteria, totalling 5976 older adults (3510 individuals randomized to self-management programming and 2466 to usual care). The pooled effectiveness of diabetes self-management programs in older adults on glycemic control (hemoglobin A1C) was a reduction of -0.32 (95% CI -0.44, -0.19). Specifically, the most effective approach on glycemic control (A1C) was the use of feedback (-0.52%; 95% CI -0.68, -0.36). Overall, self-management programs improved behaviour change outcomes, with feedback interventions being most effective (standardized mean difference [SMD] 0.91; 95% CI 0.39, 1.43). The effect of self-management programs on body mass index, weight and lipids were statistically and clinically significant.ConclusionsThe evidence for diabetes self-management programs for older adults demonstrates a small but clinically meaningful reduction in A1C, improvement in patient-reported outcomes (behaviour, self-efficacy, knowledge), and other clinical outcomes (BMI, weight and lipids). The specific strategy used in diabetes self-management programs for older adults should be considered to achieve optimal results on outcomes.

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Section: Resultsmentioning

confidence: 99%

The effects of diabetes self-management programs on clinical and patient reported outcomes in older adults: a systematic review and meta-analysis

Alliston,

Jovkovic,

Khalid

et al. 2024

Front. Clin. Diabetes Healthc.

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“…Hasil uji statistik menunjukkan adaya perbedaan yang signifikan kadar gula darah antara kelompok intervensi dan kelompok kontrol. Namun demikian kondisi ini tidak selaras dengan hasil penelitian Yang et al, (2020) yang menunjukan tidak ada perbedaan yang signifikan kadar gula darah antara sebelum dan setelah intervensi terkait manajemen perawatan DM dengan cara pemberian informasi melalui kunjungan rumah dalam model kunjungan rumah yang dilakukan secara berkelompok dengan anggota terdiri dari dokter, perawat, ahli gizi dan psikolog dengan nilai HbA1c (p = 0,272). Hal ini kemungkinan terjadi karena perbedaan parameter yang menjadi alat ukur pemeriksaan gula darah yang berbeda, dimana pada penelitian ini menggunakan parameter pemeriksaan kadar gula darah sewaktu.…”

Section: Pembahasanunclassified

“…Beberapa model intervensi untuk lansia dengan penyakit PTM termasuk lansia diabetes sudah pernah diteliti diantaranya oleh Yang et al, (2020) dengan model kunjungan kelompok di China terhadap lansia Diabetes. Maryam et al, (2018) dengan model intervensi dukungan keluarga terhadap lansia Hipetensi di komunitas.…”

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2021

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Penelitian ini bertujuan untuk mengetahui efektifitas model keperawatan keluarga peka budaya sunda dalam meningkatkan pengetahuan keluarga dan menurunkan kadar gula darah pada diabetisi lansia. Desain penelitian yang digunakan dalam penelitian ini adalah quasi eksperimen pre dan post test. Hasil penelitian menunjukkan adanya peningkatan rerata pengetahuan keluarga dan kadar gula darah diabetisi lansia pada kelompok intervensi lebih tinggi dibanding dengan kelompok kontrol dengan p value sebesar 0,000. Simpulan, model keperawatan keluarga peka budaya sunda dapat meningkatkan pengetahuan keluarga dalam merawat diabetisi lansia dan berdampak terhadap terkendalinya kadar gula darah setelah intervensi model.

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“…However, older adults are limited in acceptable exercise modalities owing to restricted joint mobility, decreased endurance and osteoporosis. 10 One study showed that 11 performing low-to moderate-intensity aerobic exercise is the most desirable and appropriate exercise for older adults rather than speed or strength exercises. Baduanjin is a set of qigong exercises with presumed medical benefits that consists of eight continuous movements.…”

Section: Introductionmentioning

confidence: 99%

Effect of Elastic-band Baduanjin exercise on older adults with type 2 diabetes mellitus in China: protocol for a randomised controlled trial

Wang,

Pei,

Liu

et al. 2023

BMJ Open

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IntroductionIn China, older adults have the highest incidence of type 2 diabetes mellitus (T2DM). Bone, joint and physical endurance limit the types of exercise available to older adults with T2DM. Baduanjin is recommended and encouraged as an exercise option. However, Baduanjin exercise alone cannot account for the loss of muscle mass. Resistance training is recommended in the guidelines and offers new options for increasing muscle strength. The purpose of this study is to compare the effects of Elastic-band Baduanjin exercise training with those of Baduanjin alone.Methods and analysisThis study is a reworking exercise programme, consisting of Baduanjin combined with elastic band resistance exercise training. A 12-week randomised controlled trial will be conducted. Patients aged 60–80 years with T2DM will be assigned to the Elastic-band Baduanjin (intervention) and Baduanjin (control) groups using cluster random sampling. A sample of 70 participants will be conducted. Indicators of muscle strength, body composition, blood glucose and balance function will be collected before and after the intervention. Meanwhile, exercise will be monitored using the International Physical Activity Questionnaire.Ethics and disseminationThe trial was approved by the Chinese Ethics Committee of Registering Clinical Trials on 19 June 2022 (ChiECRCT20220210). The research results will be published in peer-reviewed publications.Trial registration numberChinese Clinical Trials Registry (ChiCTR2200062424).

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Effectiveness of group visits for elderly patients with type 2 diabetes in an urban community in China

Cited by 6 publications

References 25 publications

The effects of diabetes self-management programs on clinical and patient reported outcomes in older adults: a systematic review and meta-analysis

The effects of diabetes self-management programs on clinical and patient reported outcomes in older adults: a systematic review and meta-analysis

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Effect of Elastic-band Baduanjin exercise on older adults with type 2 diabetes mellitus in China: protocol for a randomised controlled trial

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