Review for Chinese Medicine-Specific Health Management in Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus.

OBJECTIVE

To search, evaluate and summarize the evidences of health management in middle-aged and elderly patients with type 2 diabetes with traditional Chinese medicine (TCM) characteristics, so as to provide evidence-based basis for improving patients' participation initiative and implementing personalized health management practice for community medical staff.

METHODS

Based on evidence-based nursing methods, The domestic and foreign evidence-based resource databases including UpToDate, Elsevier, Web of Science and Cochrane were searched Library, RNAO, PubMed, Medline, CINAHL, Embase, BMJ British Medical Journal, Medical Pulse Guide Network, Chinese Medical Association, Diabetes Society, CMA Chinese Medical Association, OVID database, JBI evidence-based Health Care Center database, Chinese Traditional Medicine Database, Chinese Biomedical Literature Xian database, Wanfang database, VIP database and China National Knowledge Infrastructure. Two researchers based on the critical appraisal for summaries of evidence, CASE) appraisal of guidelines for research and evaluationII (AGREEII) independently assessed the quality of the included literature, and extracted and summarized the literature evidence that met thecriteria.

RESULTS

A total of 10 guidelines, 6 expert consensus, 3 evidence summaries, and 2 Meta-analysis summarized four dimensions, namely nutrition management, exercise management, TCM diet management, and TCM emotional management, with a total of 35 pieces of evidence.