Abstract
Objective To systematically review the effects of hospital-community integrated management mode in diabetes mellitus. Methods To comprehensively search the database including CNKI, Taiwan Airiti library, WanFang Data, WeiPu Data and PubMed, we manually searched the relevant references of literature for the RCTs on hospital-community integrated management mode in diabetes mellitus, and Meta-analysis was used by software Revman 5.2, and making descriptive analysis of the outcomes which could not be merged. Results A total of 15 RCTs were included involving 3 in English and 12 in Chinese, and 7 studies with high-quality and 8 of them with low-quality. According to the 11 evaluation focused outcomes indexes, the result of Meta-analysis showed that compared with conventional management, the hospital-community integration mode could effectively improve patients′ biochemical indicators such as glycated hemoglobin (HbA1c)[MD=-0.39, 95%CI(-0.56, -0.22), P<0.001], fasting plasma glucose[MD=-0.75, 95%CI (-1.16, -0.33), P<0.001], triglycerides[MD=-0.36, 95%CI (-0.63, -0.10), P=0.007], high-density lipoprotein (HDL-C)[MD=0.09, 95%CI (0.04, 0.14), P<0.001], low density lipoprotein (LDL-C)[MD=-0.15, 95%CI (-0.23, -0.06), P=0.001], but there was no effect on total cholesterol[MD=-0.27, 95%CI (-0.58, 0.03), P=0.080]. At the same time, the descriptive analysis presented that the model could improve patients′ awareness rate of diabetes health knowledge and promote the correct behavior of medication and regular exercise, in addition it could increase the score of life quality and reduce medical expenses. Conclusions Diabetes hospital-community integrated management can effectively improve the level of blood glucose and blood lipids, reduce the occurrence and development of related complications and provide a reliable basis for the management of diabetic patients. There is a positive impact to improve the patients′ behavior and quality of life, but it requires more randomized controlled studies to be analyzed and verified. Key words: Diabetes; Systematic review; Meta-analysis; Hospital-community integrated management mode
Published Version
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