Abstract

Background

Studies have shown the existence of health concordance between patients with type 2 diabetes mellitus (T2DM) and their spouses, and also that spouses could influence the effect of self-management, benefiting patients’ health. However, these studies are heterogeneous and the evidence is inconclusive.

Objective

To synthesize evidence from published randomized controlled trials: the interventional effects and the quality of study performance, also to identify the research gap and the directions for future studies.

Methods

We performed the scoping review by following the PRISMA-ScR guidance. We searched and examined the reports from MEDLINE, EMBASE, PsychInfo, CINAHL Plus by the pre-specified criteria. Key characteristics and information of eligible reports were extracted, analysed and synthesized comprehensively, and the results were presented in the form of words and diagrams.

Results

We identified 5 reports from 4 studies out of 3479 records included. Qualified studies indicated a positive effect of couple-based interventions on couples’ distress. Insufficient evidence on physiological health or health behaviours was identified owing to the small number of included studies and inconsistent assessment outcomes. The methodological quality across these studies was generally low due to inadequate reporting of study process and substantial biases.

Conclusions

Couple-based interventions for patients with T2DM showed small effects on the couple’s distress while the effects of other outcomes were inconclusive. Future studies should strengthen methodologies by using standard measures of core diabetic outcomes, including detailed assessments of implementation process, and taking a dyadic approach to systematically examine the effects.

中文翻译：

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中老年人 2 型糖尿病夫妻干预的效果和质量：范围审查

摘要

背景

研究表明，2型糖尿病（T2DM）患者与其配偶之间存在健康一致性，并且配偶可以影响自我管理的效果，有利于患者的健康。然而，这些研究存在异质性，证据尚无定论。

客观的

从已发表的随机对照试验中综合证据：干预效果和研究绩效的质量，同时确定研究差距和未来研究的方向。

方法

我们按照 PRISMA-ScR 指南进行了范围审查。我们按照预先指定的标准搜索并检查了来自 MEDLINE、EMBASE、PsychInfo、CINAHL Plus 的报告。对符合条件的报告的关键特征和信息进行综合提取、分析和综合，并以文字和图表的形式呈现结果。

结果

我们从纳入的 3479 条记录中的 4 项研究中确定了 5 份报告。合格的研究表明，基于夫妻的干预对夫妻的痛苦有积极的影响。由于纳入的研究数量少和评估结果不一致，导致生理健康或健康行为的证据不足。由于研究过程报告不足和大量偏差，这些研究的方法学质量普遍较低。

结论

对 T2DM 患者的基于夫妻的干预对夫妻的痛苦影响很小，而其他结果的影响尚无定论。未来的研究应通过使用核心糖尿病结果的标准测量来加强方法学，包括对实施过程的详细评估，并采用二元方法系统地检查效果。