以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (21): 39-45.doi: 10.16460/j.issn1008-9969.2023.21.039

• 循证护理 • 上一篇    下一篇

持续血糖监测在糖尿病患者中应用的系统评价再评价

王窈1, 管玉香2, 郑静3, 许娟4, 王超1   

  1. 1.安徽中医药大学 护理学院,安徽 合肥 230012;
    2.安徽中医药大学第一附属医院 护理部,安徽 合肥 230031;
    3.合江县人民医院,四川 泸州 646200;
    4.安庆医药高等专科学校 护理学院,安徽 安庆 246052
  • 收稿日期:2023-05-31 出版日期:2023-11-10 发布日期:2023-12-07
  • 通讯作者: 管玉香（1976-）,女,安徽天长人,本科学历,主任护师,硕士研究生导师。E-mail:897213643@qq.com
  • 作者简介:王窈（1999-）,女,安徽芜湖人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    安徽省卫生健康科研项目（AHWJ2021b068）

Systematic reviews of continuous glucose monitoring in patients with diabetes: an overview

WANG Yao1, GUAN Yu-xiang2, ZHENG Jing3, XU Juan4, WANG Chao1   

  1. 1. School of Nursing, Anhui University of Traditional Chinese Medicine, Hefei 230012, China;
    2. Dept. of Nursing Administration, the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230031, China;
    3. Hejiang County People's Hospital, Luzhou 646200, China;
    4. School of Nursing, Anqing Medical College, Anqing 246052, China
  • Received:2023-05-31 Online:2023-11-10 Published:2023-12-07

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摘要： 目的 评价持续血糖监测应用于糖尿病患者相关系统评价的方法学质量和结论的可靠程度。方法 计算机检索中国知网、PubMed等数据库,检索时限为建库至2023年4月1日,收集持续血糖监测应用于糖尿病患者的系统评价。由2名研究人员对文献进行纳入和信息提取,并以多维系统评价评估工具(Assessment of Multiple Systematic Reviews, AMSTAR)和推荐分级的评价、制定与评估标准（Grade of Recommendation,Assessment, Development, and Evaluation, GRADE）对纳入文献的方法学质量和结局指标进行质量评价。结果 共有14篇系统评价被纳入。AMSTAR工具评价结果显示,5篇为高质量文献,9篇为中等质量文献。GRADE系统评价结果显示,44条证据中仅有10条证据等级为中等,低等证据和极低证据分别有20条和14条。结论 持续血糖监测有利于糖尿病患者有关血糖指标的改善,但仍缺乏高质量的证据支撑,纳入研究的方法学研究质量和证据等级不高。未来有待于开展更多的高质量研究证实结论的可靠性。

关键词: 持续血糖监测, 糖尿病, 系统评价再评价, GRADE

Abstract: Objective To evaluate the methodological quality and reliability of the systematic reviews on continuous blood glucose monitoring in diabetic patients. Methods We collected systematic reviews of continuous glucose monitoring in patients with diabetes from China National Knowledge Network, PubMed and other databases by computer. The retrieval period was from the inception to April 1, 2023. Two researchers extracted the information and evaluated the methodological quality and outcome indicators of the included literature by using Assessment of Multiple Systematic Reviews (AMSTAR) and Grade of Recommendation, Assessment, Development, and Evaluation(GRADE). Results Fourteen systematic reviews were collected. AMSTAR showed that 5 pieces of literature were of high quality and 9 of medium quality. The evaluation with GRADE system showed that only 10 of the 44 pieces of evidences were with medium grade, while 20 with low grade and 14 with extremely low grade. Conclusion Continuous blood glucose monitoring is conducive to the improvement of relevant blood glucose indicators in diabetic patients, but there is still a lack of high-quality evidence support, and the quality of methodological research and evidence quality of included studies is not high. In the future, more high-quality studies are needed to confirm the reliability of the conclusions.

Key words: continuous blood glucose monitoring, diabetes mellitus, overview of systematic review, GRADE

中图分类号: 

  • R473.58
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