Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial

Coria, M.C. De la Fuente; Cruz-Cobo, Celia; Cano, M.J.

doi:10.1016/j.ijnurstu.2019.103417

Cited by 34 publications

(37 citation statements)

References 30 publications

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“…Our meta‐analysis detected a significant effect of DSM on total cholesterol. This result is consistent with a review finding from countries in the Middle East, 18,50 and implies that a nurse‐delivered DSME might be a good option for improving total cholesterol outcomes [S1]. The majority of African people with diabetes have low literacy levels and need to receive education in their local language and through practical demonstrations, images and visual aids 45,48,49 , S2.…”

Section: Discussionsupporting

confidence: 84%

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

2021

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Diabetes mellitus remains a significant public health challenge, with about 463 million adults suffering from diabetes worldwide. 1 Type 1 and type 2 diabetes are the major types of diabetes mellitus. While type 1 diabetes accounts for 5%−10%, type 2 diabetes accounts for 90%−95% of overall cases of diabetes mellitus. 1,2 Diabetes mellitus is one of the most challenging chronic illnesses in health systems in Africa, 3 with 19 million people in Africa suffering from the illness in 2019. Africa accounts for the highest proportion (77%) of diabetes mellitus-related deaths worldwide due to the inaccessibility of insulin, high medical costs, and a variety of social, cultural and ethnic factors. 1,4 Self-management refers to the ability of a patient to deal with chronic illnesses, including symptoms, treatment, physical and social consequences, and lifestyle changes. 5 An international guideline has recommended diabetes self-management (DSM) interventions to enhance health in diabetes mellitus patients, with the ultimate goal of controlling glycosylated haemoglobin (HbA 1c ). 6 DSM interventions provide education and support that are related to seven American Association of Diabetes Educators self-care behaviours (the AADE 7), namely healthy eating, being active,

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Section: Discussionsupporting

confidence: 84%

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

2021

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“…An intermediate incidence was observed in Southeast Asia, with 10.1% of patients diagnosed with DM. The African region presents the lowest prevalence of 4.4 which was attributed to low levels of urbanization and obesity incidence of obesity and higher rates of infectious diseases [1,2].…”

Section: Introductionmentioning

confidence: 99%

Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats

et al. 2020

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Background Diabetes mellitus is one of the most common todays public health problems. According to a survey by the World Health Organization, this metabolic disorder has reached global epidemic proportions, with a worldwide prevalence of 8.5% in the adult population. Objectives The present study aimed to investigate the hypoglycemic effect of aqueous extract of Mangifera indica (EAMI) leaves in streptozotocin-induced diabetic rats. Methods Sixty male rats were divided into 2 groups: Normoglycemic and Diabetic. Each group was subdivided into negative control, glibenclamide 3 or 10 mg/kg, EAMI 125, 250, 500, and 1000 mg/kg. Intraperitoneal injection of streptozotocin 100 mg/kg was used to DM induction. The hypoglycemic response was assessed acutely after two and four weeks of treatment. After a 6-hour fasting period, the fasting blood glucose of animals was verified, and 2.5 g/kg glucose solution was orally administered. The insulin tolerance test and plasma insulin levels assessment were performed in the morning after fasting of 12 to 14 hours.

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“…Studies have shown that intensive, appropriate health education for DM2 patients leads to improved HbA1c levels, and that a multidisciplinary team, in which nurses personalise the intervention and facilitate communication [42,43] is essential for its success. Nurses also foster the patient's ability to self-manage the disease, and this not only promotes effective decision making to achieve clinical targets, such as improving blood sugar levels, but it also contributes to reducing disease-related distress [42,[44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study

et al. 2021

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Type 2 diabetes mellitus (DM2) is a highly prevalent disease, the progression of which depends on high blood glucose levels, which are reflected in the level of glycosylated haemoglobin (HbA1c). Appropriate health education equips patients with the knowledge and skills to control their glucose and HbA1c levels to avoid long-term complications. This study was set up to compare the results of an intensive (360 min) educational intervention to improve HbA1c parameters in patients with DM2 with those of a usual 90 min intervention. For this purpose, healthcare personnel led a quasi-experimental study of 249 diabetics: 171 in the control group, and 78 in the intervention group. In the control group, the mean HbA1c value decreased from 6.97 to 6.75, while in intervention group it fell from 8.97 to 8.06. The before and after mean difference between both groups was compared with a Wilcoxon test, and the results statistically significant (W = 4530; p < 0.001), indicating a higher reduction of HbA1c in the intervention group. We concluded that the intensive health education provided by nurses during the consultation helped improve HBA1c levels in persons with DM2.

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Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial

Cited by 34 publications

References 30 publications

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

The effects of diabetes self‐management interventions on physiological outcomes in people living with diabetes in Africa: A systematic review and meta‐analysis

Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats

Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study

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