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Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis

Author

Listed:
  • Mi-Kyoung Cho

    (Department of Nursing Science, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju 28644, Korea)

  • Mi Young Kim

    (College of Nursing, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea)

Abstract

As the diabetic population increases, self-management of diabetes, a chronic disease, is important. Given that self-management nursing interventions using various techniques have been developed, an analysis of their importance is crucial. This study aimed to identify the overall effects of self-management nursing interventions on primary (HbA1c) and secondary (self-care, self-efficacy, fasting blood sugar level blood pressure, lipid, body mass index, waist circumference, distress, anxiety, depression, and quality of life) outcomes in diabetes. Systematic review and meta-analysis were used. The meta-analysis involved the synthesis of effect size; tests of homogeneity and heterogeneity; trim and fill plot; Egger’s regression test; and Begg’s test for assessing publication bias. The overall effect on HbA1c was −0.55, suggesting a moderate effect size, with HbA1c decreasing significantly after nursing interventions. Among the nursing interventions, the overall effect on HbA1c of nurse management programs, home visiting, and customized programs was −0.25, −0.61, and −0.65, respectively, a small or medium effect size, and was statistically significant. Healthcare professionals may encourage people with diabetes to engage in self-management of their glucose levels, such as patient-centered customized intervention. Interventions that reflect the individual’s characteristics and circumstances are effective in enabling self-management.

Suggested Citation

  • Mi-Kyoung Cho & Mi Young Kim, 2021. "Self-Management Nursing Intervention for Controlling Glucose among Diabetes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(23), pages 1-19, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12750-:d:694377
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Grainne O’Donoghue & Cliona O’Sullivan & Isabelle Corridan & Jennifer Daly & Ronan Finn & Kathryn Melvin & Casey Peiris, 2021. "Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCT," IJERPH, MDPI, vol. 18(12), pages 1-16, June.
    3. Moon Fai Chan & Amy Shun Wah Yee & Elaine Lai Yee Leung & Mary Christine Day, 2006. "The effectiveness of a diabetes nurse clinic in treating older patients with type 2 diabetes for their glycaemic control," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(6), pages 770-781, June.
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