The effect of nurse-led telephone-based interventions on glycosylated hemoglobin levels in people with type 2 diabetes: A meta-analysis.

IF 3.4 2区 医学 Q1 NURSING Worldviews on Evidence-Based Nursing Pub Date : 2024-02-01 Epub Date: 2023-10-28 DOI:10.1111/wvn.12687
Merve Yuksel, Ferya Celik, Hicran Bektas
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Abstract

Background: Telenursing interventions can contribute to achieving optimal glycemic control.

Aim: This meta-analysis aimed to determine the effect of nurse-led telephone-based interventions on glycosylated hemoglobin (HbA1c) levels in people with type 2 diabetes.

Methods: We searched electronic databases for studies published in English up to January 2023. This study was conducted in accordance with the PRISMA 2020 checklist. The intervention effects were pooled using a random-effects model. Two authors independently assessed the risk of bias using the Cochrane Collaboration tool.

Results: Eight studies involving 1179 people with type 2 diabetes were included in this study. Interventions were performed for 15-30 min and 5-16 calls. There was no evidence of a significant publication bias. The evaluation of meta-analysis data showed that nurse-led telephone-based interventions significantly reduced HbA1c levels in people with type 2 diabetes (mean difference = -0.53, 95% Confidence Interval [-0.89, -0.17], p = .003).

Linking evidence to action: Nurse-led telephone-based interventions focused on reducing glycosylated hemoglobin levels in people with type 2 diabetes can be used as an effective intervention to achieve glycemic control. We recommend holding an average of 15-25 min interviews once or twice a week.

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护士主导的电话干预对2型糖尿病患者糖化血红蛋白水平的影响:一项荟萃分析。
背景:远程护理干预有助于实现最佳血糖控制。目的:本荟萃分析旨在确定护士主导的电话干预对2型糖尿病患者糖化血红蛋白(HbA1c)水平的影响。方法:我们在电子数据库中搜索截至2023年1月以英文发表的研究。本研究根据PRISMA 2020检查表进行。使用随机效应模型对干预效果进行汇总。两位作者使用Cochrane协作工具独立评估了偏倚的风险。结果:本研究包括8项研究,涉及1179名2型糖尿病患者。介入治疗时间为15-30 分钟和5-16次呼叫。没有证据表明存在重大的出版偏见。荟萃分析数据评估显示,护士主导的电话干预显著降低了2型糖尿病患者的HbA1c水平(平均差异 = -0.53,95%置信区间[0.89,-0.17],p = .003).将证据与行动联系起来:护士主导的以电话为基础的干预措施,重点是降低2型糖尿病患者的糖化血红蛋白水平,可以作为实现血糖控制的有效干预措施。我们建议平均持有15-25 每周面试一到两次。
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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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