The effect of nurse‐led diabetes self‐management programmes on glycosylated haemoglobin levels in individuals with type 2 diabetes: A systematic review.

Autor: Yuksel, Merve, Bektas, Hicran, Ozer, Zeynep Canli
Předmět:
Zdroj: International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2023, Vol. 29 Issue 6, p1-14, 14p
Abstrakt: Aims: This review aimed to examine the content, frequency, duration, and outcomes of nurse‐led diabetes self‐management programmes on glycosylated haemoglobin levels in individuals with type 2 diabetes. Background: Diabetes self‐management programmes improve glycemic control in individuals with type 2 diabetes to acquire specific behavioural changes and develop effective problem‐solving skills. Design: A systematic review was used in this study. Data sources PubMed, Science Direct, Cochrane Library, Web of Science, Ovid, CINAHL, Proquest and Scopus databases were searched for studies published in English until February 2022. The risk of bias was assessed using the Cochrane Collaboration tool. Review methods: This study followed the recommendations of the Cochrane 2022 guidelines and was reported using the Preferred Reporting Items for Systematic Reviews and Meta‐analysis. Results: Eight studies with 1747 participants met the inclusion criteria. Interventions included telephone coaching, consultation services and individual and group education. The duration of the intervention ranged from 3 to 15 months. The results showed that nurse‐led diabetes self‐management programmes had positive and clinically significant effects on glycosylated haemoglobin levels in individuals with type 2 diabetes. Conclusion: These findings highlight the important role of nurses in improving self‐management and achieving glycemic control in individuals with type 2 diabetes. The positive outcomes of this review offer suggestions for health care professionals to develop effective self‐management programnmes in type 2 diabetes treatment and care. Summary statement: What is already known about this topic? Prevention of complications and achievement of optimal glycemic control in patients with type 2 diabetes is important. For this reason, self‐management is the basis of diabetes care.Diabetes self‐management programmes improve glycemic control in individuals with type 2 diabetes by acquiring specific behavioural changes and developing effective problem‐solving skills.What this paper adds? These results show that nurse‐led diabetes self‐management programmes have positive and clinically significant effects on HbA1c levels in individuals with type 2 diabetes.Nurse‐led diabetes self‐management programmes with long follow‐up periods, taking at least 6 months and repeating programmes that include education and consultancy services at certain intervals appear more effective.The implications of this paper: These findings highlight the pioneering role of nurses in improving self‐management and achieving glycemic control in individuals with type 2 diabetes. It is recommended that nurse‐led diabetes self‐management programmes should be integrated into healthcare services and access.This review will guide the design of future studies related to nurse‐led diabetes self‐management programmes for individuals with type 2 diabetes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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