关键词: 2 型糖尿病, 赋权, 健康教育, Meta 分析

Abstract: Objective: To evaluate the effect of empowerment-based health education in patients with type 2 diabetes. Methods: A meta-analysis method was used to search multiple Chinese and English databases by computer to collect the randomized controlled clinical trials related to empowerment-based health education on type 2 diabetes patients. After literature screening, data extraction and quality evaluation, data analysis was performed by RevMan 5.4. Results: Thirteen randomized controlled trials were included, involving a total of 1 507 patients. In terms of fasting blood glucose, subgroup analysis showed that empowerment-based health education for ≥6 months could significantly reduce fasting blood glucose [MD=-1.39, 95%CI (-1.65, -1.12), P<0.001]. Compared with the conventional health education group, the blood glucose at 2 hours after meals [MD=-1.48, 95%CI (-1.71, -1.25), P<0.001] and HbA1c [MD=-0.69, 95%CI (-0.75, -0.64), P<0.001] were significantly reduced in the empowerment-based health education group. In terms of self -management behavior, subgroup analysis showed that the self-management behavior score of empowerment-based health education <6 months was higher than that of control group [SMD=1.41, 95%CI (1.14, 1.68), P<0.001]. Compared with conventional health education, the self -efficacy score of the empowerment -based health education group was higher than that of the control group [SMD=-1.48, 95%CI (-1.71, -1.25), P<0.001]. Conclusion: Empowerment-based health education can reduce blood glucose index, enhance short-term self-management behavior, improve quality of life in patients with type 2 diabetes. The effect on self-efficacy needs to be further verified by more high-quality RCT studies.

Key words: Type 2 diabetes mellitus, Empowerment, Health education, Meta-analysis