Title : The influence of nurse-led interventions on the diseases management in patients with diabetes mellitus
Abstract:
The global prevalence of patients with diabetes mellitus (PWD) is rapidly increasing. Nurses can provide diabetes care for PWD in several areas. Interventions led by nurses can support PWD for effective management of diabetes, which can positively improve clinical outcomes. Nurse-led diabetes self-management education (DSME) is an effective strategy to manage DM, since it improves diabetic self-care practice and knowledge. PWD often need to stay in hospitals longer, which involves poorer patient satisfaction and clinical outcomes. Nurse-led clinics for DM management are a new strategy to possibly ameliorate DM management Diabetes specialist nurses can play an important role in improving diabetes care in inpatient settings. Various studies have revealed that nurses can independently provide care to PWD in collaboration with various other healthcare providers. Studies also demonstrated that the nurse-led education-receiving group showed a significantly reduced level of average glycosylated hemoglobin A1c level. Moreover, nurse-led interventions often result in significant improvements in diabetes knowledge, psychological outcomes, self-management behaviours, and physiological outcomes. There are a range of outcomes that are measured to assess the impact of nursing interventions including diabetes knowledge, physiological as well as psychological outcomes, and self-management behaviours. In this review, a number of nursing interventions and nurses’ roles as educators, motivators, as well as caregivers in DM management have been extensively discussed. This article also summarises the outcomes that are measured to evaluate the impact of nursing interventions and the strategies to overcome the existing and emerging challenges for nurses in diabetes care.
Keywords: Diabetes mellitus, Nurse-led interventions, Diabetes specialist nurses, Diabetes self-management education, Self-management behaviours
