Educational Interventions in Adults with Type 2 Diabetes Mellitus in Primary Health Care Settings. A Scoping Review

IF 1.3 Q3 NURSING

Investigacion y Educacion en Enfermeria Pub Date : 2023-06-20 DOI:10.17533/udea.iee.v41n2e15.

Yasmin Alejandra Castillo-Merino, Camila Ospina-Ayala, Natalia Esquivel-Garzón, Alba Luz Rodríguez-Acelas, Wilson Cañón-Montañez

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Abstract

Abstract Objective: To synthesize the evidence of studies with educational interventions for adults with type-2 diabetes mellitus (DM2) in primary health care settings. Methods: A scoping review was conducted following the recommendations by the Joanna Briggs Institute and by the PRISMA declaration. The protocol was registered in INPLASY20215009. The search was carried out in: MEDLINE (via PubMed), EMBASE, Web of Science, LILACS, and grey literature. Results: Seventeen studies were included; most were randomized clinical trials of which 65% were conducted in high-income countries, and all the studies represented 5 656 participants. The results showed four big categories derived from educational interventions: therapeutic adherence (significant results on the satisfaction with the treatment); self-care and self-management in diabetes (improvement in self-efficacy, empowerment, and disease awareness); glycemic control in diabetes (significant results in reducing glycosylated hemoglobin); nursing and its role in the educational interventions on patients with DM2 (guidance in restructuring behaviors). Conclusion: The findings of this review suggest that educational interventions on patients with DM2 within the setting of primary health care can impact positively on therapeutic adherence, self-control, and knowledge of the disease. Moreover, it was possible to identify the influence of multidisciplinary health teams, where the relevance of nursing professionals in the construction and implementation of educational interventions is evidenced in obtaining better health results.

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在基层医疗机构对成人 2 型糖尿病患者进行教育干预。范围综述

摘要目的：综述在初级医疗机构对成年 2 型糖尿病（DM2）患者进行教育干预的研究证据。方法：按照乔安娜-布里格斯研究所（Joanna Briggs Institute）的建议和 PRISMA 声明进行了范围界定综述。研究方案已在 INPLASY20215009 中注册。搜索范围包括MEDLINE（通过 PubMed）、EMBASE、Web of Science、LILACS 和灰色文献。结果共纳入 17 项研究；大部分是随机临床试验，其中 65% 在高收入国家进行，所有研究有 5 656 人参与。结果显示，教育干预产生了四大类别：治疗依从性（对治疗满意度的显著结果）；糖尿病的自我护理和自我管理（自我效能、授权和疾病意识的改善）；糖尿病的血糖控制（在降低糖化血红蛋白方面的显著结果）；护理及其在 DM2 患者教育干预中的作用（对重组行为的指导）。结论：本综述的研究结果表明，在初级卫生保健环境中对 DM2 患者进行教育干预，可对坚持治疗、自我控制和疾病知识产生积极影响。此外，还发现了多学科医疗团队的影响，其中护理专业人员在构建和实施教育干预措施方面的作用得到了证实，从而获得了更好的健康效果。

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

Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery

CiteScore

2.60

自引率

5.00%

发文量

审稿时长

14 weeks

期刊介绍： The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.