Effectiveness of Nurse-led Educational Interventions on Glycemic Control and Self-care Behaviors of Type 2 Diabetics: A Systematic Review

Research in health science Pub Date : 2023-12-20 DOI:10.22158/rhs.v9n1p1

Yi Shi, Xueqing Liang

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Abstract

Background: Blood glucose control is challenging for patients with diabetes and is often associated with self-care behaviors. The effectiveness of nurse-led educational interventions for glycemic control and self-care behaviors in patients with type 2 diabetes is unclear.Objective: To determine effectiveness of nurse-led educational intervention on glycemic control and self-care behaviors in patients with type 2 diabetes.Design: Mixed methods systematic review.Data Sources: A comprehensive search in Medline, CINAHL and Scopus was conducted in February 2023 to identify peer-reviewed papers published between 2003 and 2023.Review Methods: The review was guided by the Joanna Briggs Institute systematic review manual. Data were extracted and assessed by two evaluators using a standardized checklist. Due to the high level of heterogeneity between studies, the data were analyzed using Popay et al.'s (2006) conduct of narrative synthesis in systematic reviews.Results: Ten randomized controlled trials met the inclusion criteria. Studies described nurse-led educational interventions delivered either face-to-face or online. The outcomes of the educational interventions and the measurement tools used were diverse, with many studies reporting attrition. Most studies reported that nurse-led educational interventions improved outcomes for patients with type 2 diabetes.Conclusions: The evidence identifies that nurse-led educational interventions are effective for glycemic control and self-care behaviors in patients with type 2 diabetes. This review demonstrates evidence of approaches that could inform future practice and research to support all adult populations of patients with type 2 diabetes to improve glucose control and self-care behaviors. Future research would benefit from well-designed clinical trials that use common outcome measures to provide more information about the effectiveness as well as the sustainability of such interventions.

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护士主导的教育干预对 2 型糖尿病患者血糖控制和自我护理行为的效果：系统回顾

背景：血糖控制对糖尿病患者来说具有挑战性，通常与自我护理行为有关。护士主导的教育干预对 2 型糖尿病患者血糖控制和自我护理行为的效果尚不明确：确定护士引导的教育干预对 2 型糖尿病患者血糖控制和自我护理行为的有效性：设计：混合方法系统综述：2023年2月在Medline、CINAHL和Scopus进行了全面检索，以确定2003年至2023年间发表的同行评议论文：综述以乔安娜-布里格斯研究所（Joanna Briggs Institute）的系统综述手册为指导。数据由两名评估人员使用标准化核对表进行提取和评估。由于研究之间存在高度异质性，因此采用 Popay 等人（2006 年）的系统综述叙述性综合方法对数据进行分析：结果：10 项随机对照试验符合纳入标准。研究介绍了由护士主导的面对面或在线教育干预。教育干预的结果和使用的测量工具多种多样，许多研究报告了自然减员。大多数研究报告称，护士主导的教育干预改善了 2 型糖尿病患者的治疗效果：有证据表明，护士主导的教育干预对 2 型糖尿病患者的血糖控制和自我护理行为有效。本综述展示了一些方法的证据，可为今后的实践和研究提供参考，以支持所有成年 2 型糖尿病患者改善血糖控制和自我护理行为。未来的研究将受益于精心设计的临床试验，这些试验采用通用的结果测量方法，以提供更多有关此类干预措施的有效性和可持续性的信息。

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Research in health science

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