Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Sukartini, Tintin; Nursalam, Nursalam; Pradipta, Rifky Octavia; Ubudiyah, Masunatul

doi:10.5812/ijem-119698

Cited by 7 publications

(1 citation statement)

References 53 publications

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“…By improving their self-efficacy, they may be better able to adhere to their treatment plans such as monitoring their blood sugar levels, adhering to a healthy diet, and engaging in regular physical activity. This, in turn, could lead to better management of their diabetes and improved overall health outcomes [27].…”

Section: Introductionmentioning

confidence: 99%

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Shaban,

Sharaa,

Amer

et al. 2024

BMC Nurs

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Background In recent years, there has been growing interest in the use of Digital Based Nursing Intervention to support diabetes management. This study aimed to evaluate the effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of clients with diabetes. Methods Employing a quasi-experimental design, a sample of 120 adult participants diagnosed with type 2 diabetes, aged more than 18 years with focus on older adults was drawn from outpatient clinics at Cairo University Hospital. The intervention was approved and registered by the ethical committee of the faculty of nursing with IRB number: RHDIRB2019041701. The intervention group (n = 60) received a digital-based nursing intervention, while the control group (n = 60) received standard care. Data were collected using adopted standardized tools including the Diabetes Knowledge Test, the Diabetes Self-Efficacy Scale, and the Summary of Diabetes Self-Care Activities. Demographic characteristics were analyzed, and pre- and post-intervention scores were compared using paired t-tests were statistical methods. Results The digital-based nursing intervention resulted in significant enhancements in participants with diabetes knowledge and self-efficacy levels. Moreover, the intervention group demonstrated marked improvements in various self-care behaviors encompassing diet, exercise, medication adherence, blood glucose testing, and foot care. While the control group also exhibited some progress, the effects were less pronounced. Regression analyses highlighted age as a consistent factor associated with knowledge, self-efficacy, and specific self-care behaviors. Conclusion This study underscores the potential of tailored digital nursing interventions to complement traditional care approaches, empowering patients with type 2 diabetes to actively engage in self-management. The findings suggest that digital-based nursing interventions hold promise for enhancing patient knowledge, confidence, and proactive health behaviors. Nevertheless, limitations, including the relatively short intervention duration and a sample from a single clinic, warrant consideration. Future research should address these limitations to bolster the validity and applicability of the study’s conclusions.

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Section: Introductionmentioning

confidence: 99%

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Shaban,

Sharaa,

Amer

et al. 2024

BMC Nurs

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A Hybrid Model of In-Person and Telemedicine Diabetes Education and Care for Management of Patients with Uncontrolled Type 2 Diabetes Mellitus: Findings and Implications from a Multicenter Prospective Study

Tourkmani,

Alharbi,

Rsheed

et al. 2024

Telemedicine Reports

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Background: Patients with uncontrolled type 2 diabetes mellitus (T2DM) require close follow-up, support, and education to achieve glycemic control, especially during the initiation or intensification of insulin therapy and self-care management. This study aimed to describe and evaluate the impact of implementing a hybrid model of in-person and telemedicine care and education on glycemic control for patients with uncontrolled T2DM (hemoglobin A1c [HbA1c] ≥9%) during the coronavirus disease pandemic. Methods: This prospective multicenter-cohort pre-/post-intervention study was conducted on patients with uncontrolled T2DM. This study included three chronic illness centers affiliated with the Family and Community Medicine Department at Prince Sultan Military Medical City in Riyadh, Saudi Arabia. A hybrid model of in-person (onsite) and telemedicine care and education was developed. This involved implementing initial in-person care at the physicians' clinic and initial in-person education at the diabetes education clinic, followed by telemedicine services of tele-follow-ups, support, and education for an average 4-month follow-up period. Results: Of the enrolled 181 patients, more than half of the participants were women ( n = 103, 56.9%). The mean age of participants (standard deviation) was 58.64 ± 11.23 years and the mean duration of diabetes mellitus was 13.80 ± 8.55 years. The majority of the patients ( n = 144; 79.6%) were on insulin therapy. Overall, in all three centers, the hybrid model had significantly reduced HbA1c from 10.47 ± 1.23% to 7.87 ± 1.59% (mean difference of reduction 2.59% [95% confidence interval (CI) = 2.34–2.85%], p < 0.001). At the level of each center, HbA1c was reduced significantly with mean differences of 3.17% (95% CI = 2.81–3.53%), 2.49% (95% CI = 1.92–3.06%), and 2.16% (95% CI = 1.76–2.57%) at centers A, B, and C, respectively (all p < 0.001). Conclusion: The findings showed that the hybrid model of in-person and telemedicine care and education effectively managed uncontrolled T2DM. Consequently, the role of telemedicine in diabetes management could be further expanded as part of routine diabetes care in primary settings to achieve better glycemic control and minimize nonessential in-person visits when appropriate.

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Overview of Self-Care Behavior in Patients With Type Ii Diabetes Mellitus : Literature Review

Umam

Yusuf

Iswatun

2023

JoViN

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Introduction: Diabetes Mellitus is a chronic disease that requires self-care to improve the quality of life and reduce the occurrence of complications. Self-care behaviors that can be applied by DM patients include physical activity, diet regulation, control of blood glucose levels, treatment, and prevention of complications. The purpose of this literature review is to describe self-care behavior in Type II Diabetes Mellitus patients. Methods: Literature Review using the PICOT framework from several databases (Scopus, Science Direct, Google Scholar, Research Gate and Pubmed). The search results are displayed in the PRISMA. Abstracts and full articles were assessed for eligibility (n = 34), The articles correspond to research feasibility in quantitative studies (n = 12). Results: After collecting data, all data were selected according to the inclusion. Based on a review article, the self-care regimen for type 2 Diabetes Mellitus patients generally includes physical activity, diet, controlling blood glucose levels, monitoring blood glucose and medication. However, most of the respondents compliance with self-care management behavior in type 2 Diabetes Mellitus (DM) patients has not been carried out optimally. Conclusions: The role of nurses is important in increasing adherence to self-care behavior in Diabetes Mellitus patients.

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Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Cited by 7 publications

References 53 publications

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

A Hybrid Model of In-Person and Telemedicine Diabetes Education and Care for Management of Patients with Uncontrolled Type 2 Diabetes Mellitus: Findings and Implications from a Multicenter Prospective Study

Overview of Self-Care Behavior in Patients With Type Ii Diabetes Mellitus : Literature Review

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