The efficacy of interventions provided by nurses to improve glycemic control of children with type 1 diabetes: A systematic review

IF 1.2 4区医学 Q3 NURSING

Journal for Specialists in Pediatric Nursing Pub Date : 2022-11-13 DOI:10.1111/jspn.12397

Elif Bakir PhD, RN, Tufan Aslı Sezer PhD, RN

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引用次数: 1

Abstract

Purpose

Nurses have a very important role in diabetes education of children and adolescents, however, no systematic review has been performed that evaluates the effectiveness of the independent interventions of the nurses. This systematic review aims to identify and assess randomized controlled trials (RCT) that included interventions implemented by nurses to improve glycemic control for children and adolescents with type 1 diabetes.

Eligibility Criteria

PubMed, the Cochrane Central Register of Controlled Trials, Scopus, Web of Science, Science Direct databases were systematically searched up to 2022. Interventions provided by nurses for any child ≤18 years diagnosed with type 1 diabetes mellitus were included.

Sample

Seven RCT articles met our review criteria.

Results

All included studies were published between 2005 and 2021. Studies varied in terms of intervention type; telephone case management, coping skills training, motivational interview as well as home visit education programs. Interventions were found to significantly decrease the HbA1c level in three of seven studies.

Conclusions

Our systematic review suggests that nurses can improve the glycemic control of children with type 1 diabetes by conducting care interventions. According to current evidence, this study suggests that telephone contact by nurses and motivational interviewing can be beneficial in improving glycemic control in this population.

Implications

Nurses may encourage children and adolescents with diabetes to engage in self-management of their glucose levels. There is a need for more randomized controlled studies assessing the efficacy of nursing interventions for children with type 1 diabetes.

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护士干预改善1型糖尿病儿童血糖控制的效果:一项系统综述

目的护士在儿童和青少年糖尿病教育中发挥着非常重要的作用，然而，尚未进行系统的审查来评估护士独立干预的有效性。这项系统综述旨在确定和评估随机对照试验（RCT），其中包括护士为改善1型糖尿病儿童和青少年的血糖控制而实施的干预措施。截至2022年，对PubMed、Cochrane对照试验中央注册中心、Scopus、Web of Science、Science Direct数据库的资格标准进行了系统搜索。包括护士为任何被诊断为1型糖尿病的≤18岁儿童提供的干预措施。样本七篇随机对照试验文章符合我们的审查标准。结果所有纳入的研究均于2005年至2021年间发表。干预类型的研究各不相同；电话案例管理、应对技能培训、动机访谈以及家访教育计划。在七项研究中，有三项研究发现干预措施能显著降低HbA1c水平。结论我们的系统综述表明，护士可以通过进行护理干预来改善1型糖尿病儿童的血糖控制。根据目前的证据，这项研究表明，护士的电话联系和动机访谈有助于改善这一人群的血糖控制。提示护士可能会鼓励患有糖尿病的儿童和青少年对自己的血糖水平进行自我管理。需要更多的随机对照研究来评估护理干预对1型糖尿病儿童的疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Specialists in Pediatric Nursing 医学-护理

CiteScore

2.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Linking science and practice by publishing evidence-based information on pediatric nursing and answering the question, ''How might this information affect nursing practice?'' The Journal for Specialists in Pediatric Nursing (JSPN) is the international evidence-based practice journal for nurses who specialize in the care of children and families. JSPN bridges the gap between research and practice by publishing peer-reviewed reliable, clinically relevant, and readily applicable evidence. The journal integrates the best evidence with pediatric nurses'' passion for achieving the best outcomes. The journal values interdisciplinary perspectives and publishes a wide variety of peer-reviewed papers on clinically relevant topics.