The Effect of Telenursing on Disease Outcomes in People with Type 2 Diabetes Mellitus: A Narrative Review

IF 3.6 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Research Pub Date : 2023-12-07 DOI:10.1155/2023/4729430

Mina AkbariRad, Mohsen Dehghani, Masoumeh Sadeghi, Ashkan Torshizian, Nikoo Saeedi, Mehrdad Sarabi, Mahdieh Sahebi, Mohammad Taghi Shakeri

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Abstract

Background and Aim. Diabetes is the most common chronic metabolic disease worldwide, requiring life-term follow-up. Telenursing is a suitable method to provide care to people with type 2 diabetes mellitus (T2DM). The present review assessed the effect of telenursing compared to routine care on the outcomes of people with T2DM. Method. A comprehensive search of online databases, including PubMed, Scopus, Cochrane Library, and Google Scholar, was performed using the following MeSH keywords: telenursing, telephone follow-up, diabetes mellitus, disease management, glycemic, self-care, treatment adherence, and quality of life, up to September 2023. Two reviewers independently screened pertinent studies based on the prespecified outcomes (treatment adherence, self-care, glycemic control, and quality of life) and extracted data from all eligible studies. Results. Of all retrieved records, 23 studies including 5 quasiexperimental (21%) and 18 randomized controlled trials (RCTs) (79%) from five continents met the inclusion criteria. Both male and female patients were considered in the included studies, with mean age of 56.2 years old and a follow-up range of 12 weeks to 18 months. Findings showed that telenursing or nurse telephone follow-up significantly increased mean self-care efficacy score, improved adherence to the treatment regimen, decreased glycosylated hemoglobin and plasma glucose levels (but not lipid profile and body mass index), and improved quality of life compared to the routine care in people with T2DM. Conclusion. Telenursing can effectively supplement healthcare professionals to manage PWT2D. Increasing patients’ knowledge about their drugs, insulin administration, and diabetes complications improves self-care behaviors and medical adherence. Consistently, improved self-care and regular use of treatment result in improved metabolic indicators and decreased rate of complications, which is associated with a better quality of life.

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远程护理对 2 型糖尿病患者疾病预后的影响：叙述性综述

背景和目的。糖尿病是全球最常见的慢性代谢性疾病，需要终生随访。远程护理是为 2 型糖尿病（T2DM）患者提供护理的合适方法。本综述评估了远程护理与常规护理相比对 T2DM 患者疗效的影响。方法。使用以下 MeSH 关键词对 PubMed、Scopus、Cochrane Library 和 Google Scholar 等在线数据库进行了全面检索：远程护理、电话随访、糖尿病、疾病管理、血糖、自我护理、治疗依从性和生活质量，检索时间截至 2023 年 9 月。两名审稿人根据预设结果（治疗依从性、自我护理、血糖控制和生活质量）独立筛选相关研究，并从所有符合条件的研究中提取数据。结果。在所有检索到的记录中，来自五大洲的 23 项研究符合纳入标准，其中包括 5 项准实验研究（21%）和 18 项随机对照试验（RCT）（79%）。纳入研究的患者既有男性也有女性，平均年龄为 56.2 岁，随访时间从 12 周到 18 个月不等。研究结果表明，与常规护理相比，远程护理或护士电话随访可显著提高 T2DM 患者的平均自我护理效能评分，改善治疗方案的依从性，降低糖化血红蛋白和血浆葡萄糖水平（但不包括血脂状况和体重指数），并改善生活质量。结论远程护理可有效辅助医护人员管理 PWT2D。增加患者对药物、胰岛素用药和糖尿病并发症的了解，可改善自我护理行为和坚持医疗。通过改善自我护理和定期接受治疗，可持续改善代谢指标，降低并发症发生率，从而提高生活质量。

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 of Diabetes Research ENDOCRINOLOGY & METABOLISM-MEDICINE, RESEARCH & EXPERIMENTAL

CiteScore

8.40

自引率

2.30%

发文量

152

审稿时长

14 weeks

期刊介绍： Journal of Diabetes Research is a peer-reviewed, Open Access journal that publishes research articles, review articles, and clinical studies related to type 1 and type 2 diabetes. The journal welcomes submissions focusing on the epidemiology, etiology, pathogenesis, management, and prevention of diabetes, as well as associated complications, such as diabetic retinopathy, neuropathy and nephropathy.