The role of telenursing in the management of diabetes：A systematic review and meta‐analysis
Background Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive. Objectives To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of ra...
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| Veröffentlicht in: | Public health Nursing 2019-07, Vol.36 (4), p.575-586 |
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| creator | Yang, Sa Jiang, Qiuhuan Li, Hongfang |
| description | Background
Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive.
Objectives
To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of randomized controlled trials (RCTs).
Methods
We searched electronic databases, including PubMed, Embase, Web of Science and Cochrane Library. Studies comparing telenursing with usual care in diabetes patients were included.
Results
A total of 17 randomized controlled trials were identified. Glycated hemoglobin (HbA1c) dates were pooled using a random effects meta‐analysis method, followed by subgroup analyses to examine heterogeneity. The meta‐analysis showed that the use of telenursing (vs. usual care) was associated with a significant reduction in HbA1c levels compared to usual care, with a pooled 0.68% (95% CI: 0.33–1.03, p = 0.0001; I2 = 95%). For the secondary outcome, the SMD of body mass index (BMI) was −0.25% (95% CI: −0.81 to 0.32%, p = 0.39), with no statistically significant change; the fasting blood sugar (FBS) SMD was −0.19% (95% CI: 0.20 to 1.01, p = 0.003), with a statistically significant change; the total cholesterol (TC) SMD was −0.09% (95% CI: −0.03 to 0.21, p = 0.12), with no statistically significant change.
Conclusions
Telenursing, as a useful tool for patient education and behavioral interventions, can help diabetes patients to improve their glycemic control. However, more studies on up‐to‐date and cost‐effective technologies are needed. |
| doi_str_mv | 10.1111/phn.12603 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2194153984</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2194153984</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3343-f6a87bcbf94335fe52ddee213f5eb5ed78e3f83af2bcc78a781e507c8e7faf83</originalsourceid><addsrcrecordid>eNp10DlOxDAUBmALgWBYCi6ALNFAEfASx06JRmzSCCimt5zkGYyyDHYCmo4jUHMWTsMFuAIeBiiQeI2L9_nX04_QLiVHNM7x7K49oiwjfAWNqGAioWmaraIRkVwmlJF8A22GcE8I4YJl62iDE6W4UmqE9PQOsO9qwJ3FPdTQDj649ha7Fvdx1ZjW3EIDbb8AlTMF9BA-3l5PcJiHHhrTuxJ7eHTwhE1b4QZ68_78Er_V8-DCNlqzpg6w8_1uoenZ6XR8kUyuzy_HJ5Ok5Dzlic2MkkVZ2DzlXFgQrKoAGOVWQCGgkgq4VdxYVpSlVEYqCoLIUoG0Ji620MEydua7hwFCrxsXSqhr00I3BM1onlLBc5VGuv-H3neDj-dGxYTMGcszHtXhUpW-C8GD1TPvGuPnmhK9KF3H0vVX6dHufScORQPVr_xpOYLjJXhyNcz_T9I3F1fLyE-5XY6l</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2257922963</pqid></control><display><type>article</type><title>The role of telenursing in the management of diabetes：A systematic review and meta‐analysis</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yang, Sa ; Jiang, Qiuhuan ; Li, Hongfang</creator><creatorcontrib>Yang, Sa ; Jiang, Qiuhuan ; Li, Hongfang</creatorcontrib><description>Background
Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive.
Objectives
To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of randomized controlled trials (RCTs).
Methods
We searched electronic databases, including PubMed, Embase, Web of Science and Cochrane Library. Studies comparing telenursing with usual care in diabetes patients were included.
Results
A total of 17 randomized controlled trials were identified. Glycated hemoglobin (HbA1c) dates were pooled using a random effects meta‐analysis method, followed by subgroup analyses to examine heterogeneity. The meta‐analysis showed that the use of telenursing (vs. usual care) was associated with a significant reduction in HbA1c levels compared to usual care, with a pooled 0.68% (95% CI: 0.33–1.03, p = 0.0001; I2 = 95%). For the secondary outcome, the SMD of body mass index (BMI) was −0.25% (95% CI: −0.81 to 0.32%, p = 0.39), with no statistically significant change; the fasting blood sugar (FBS) SMD was −0.19% (95% CI: 0.20 to 1.01, p = 0.003), with a statistically significant change; the total cholesterol (TC) SMD was −0.09% (95% CI: −0.03 to 0.21, p = 0.12), with no statistically significant change.
Conclusions
Telenursing, as a useful tool for patient education and behavioral interventions, can help diabetes patients to improve their glycemic control. However, more studies on up‐to‐date and cost‐effective technologies are needed.</description><identifier>ISSN: 0737-1209</identifier><identifier>EISSN: 1525-1446</identifier><identifier>DOI: 10.1111/phn.12603</identifier><identifier>PMID: 30883888</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Body Mass Index ; Body size ; Cholesterol ; Chronic illnesses ; Clinical trials ; Control methods ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - therapy ; Disease control ; Disease management ; Evidence-based medicine ; Glycated Hemoglobin A - analysis ; Hemoglobin ; Heterogeneity ; Humans ; Meta-analysis ; metabolic control ; Nursing ; Nursing care ; Randomization ; Statistical analysis ; Subgroups ; Sugar ; Systematic review ; Telemedicine ; telenursing ; Telenursing - methods</subject><ispartof>Public health Nursing, 2019-07, Vol.36 (4), p.575-586</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3343-f6a87bcbf94335fe52ddee213f5eb5ed78e3f83af2bcc78a781e507c8e7faf83</citedby><cites>FETCH-LOGICAL-c3343-f6a87bcbf94335fe52ddee213f5eb5ed78e3f83af2bcc78a781e507c8e7faf83</cites><orcidid>0000-0003-3582-3675</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fphn.12603$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fphn.12603$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30883888$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Sa</creatorcontrib><creatorcontrib>Jiang, Qiuhuan</creatorcontrib><creatorcontrib>Li, Hongfang</creatorcontrib><title>The role of telenursing in the management of diabetes：A systematic review and meta‐analysis</title><title>Public health Nursing</title><addtitle>Public Health Nurs</addtitle><description>Background
Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive.
Objectives
To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of randomized controlled trials (RCTs).
Methods
We searched electronic databases, including PubMed, Embase, Web of Science and Cochrane Library. Studies comparing telenursing with usual care in diabetes patients were included.
Results
A total of 17 randomized controlled trials were identified. Glycated hemoglobin (HbA1c) dates were pooled using a random effects meta‐analysis method, followed by subgroup analyses to examine heterogeneity. The meta‐analysis showed that the use of telenursing (vs. usual care) was associated with a significant reduction in HbA1c levels compared to usual care, with a pooled 0.68% (95% CI: 0.33–1.03, p = 0.0001; I2 = 95%). For the secondary outcome, the SMD of body mass index (BMI) was −0.25% (95% CI: −0.81 to 0.32%, p = 0.39), with no statistically significant change; the fasting blood sugar (FBS) SMD was −0.19% (95% CI: 0.20 to 1.01, p = 0.003), with a statistically significant change; the total cholesterol (TC) SMD was −0.09% (95% CI: −0.03 to 0.21, p = 0.12), with no statistically significant change.
Conclusions
Telenursing, as a useful tool for patient education and behavioral interventions, can help diabetes patients to improve their glycemic control. However, more studies on up‐to‐date and cost‐effective technologies are needed.</description><subject>Body Mass Index</subject><subject>Body size</subject><subject>Cholesterol</subject><subject>Chronic illnesses</subject><subject>Clinical trials</subject><subject>Control methods</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Disease control</subject><subject>Disease management</subject><subject>Evidence-based medicine</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Hemoglobin</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>metabolic control</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Randomization</subject><subject>Statistical analysis</subject><subject>Subgroups</subject><subject>Sugar</subject><subject>Systematic review</subject><subject>Telemedicine</subject><subject>telenursing</subject><subject>Telenursing - methods</subject><issn>0737-1209</issn><issn>1525-1446</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10DlOxDAUBmALgWBYCi6ALNFAEfASx06JRmzSCCimt5zkGYyyDHYCmo4jUHMWTsMFuAIeBiiQeI2L9_nX04_QLiVHNM7x7K49oiwjfAWNqGAioWmaraIRkVwmlJF8A22GcE8I4YJl62iDE6W4UmqE9PQOsO9qwJ3FPdTQDj649ha7Fvdx1ZjW3EIDbb8AlTMF9BA-3l5PcJiHHhrTuxJ7eHTwhE1b4QZ68_78Er_V8-DCNlqzpg6w8_1uoenZ6XR8kUyuzy_HJ5Ok5Dzlic2MkkVZ2DzlXFgQrKoAGOVWQCGgkgq4VdxYVpSlVEYqCoLIUoG0Ji620MEydua7hwFCrxsXSqhr00I3BM1onlLBc5VGuv-H3neDj-dGxYTMGcszHtXhUpW-C8GD1TPvGuPnmhK9KF3H0vVX6dHufScORQPVr_xpOYLjJXhyNcz_T9I3F1fLyE-5XY6l</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Yang, Sa</creator><creator>Jiang, Qiuhuan</creator><creator>Li, Hongfang</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>ASE</scope><scope>C1K</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3582-3675</orcidid></search><sort><creationdate>201907</creationdate><title>The role of telenursing in the management of diabetes：A systematic review and meta‐analysis</title><author>Yang, Sa ; Jiang, Qiuhuan ; Li, Hongfang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3343-f6a87bcbf94335fe52ddee213f5eb5ed78e3f83af2bcc78a781e507c8e7faf83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Body Mass Index</topic><topic>Body size</topic><topic>Cholesterol</topic><topic>Chronic illnesses</topic><topic>Clinical trials</topic><topic>Control methods</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Disease control</topic><topic>Disease management</topic><topic>Evidence-based medicine</topic><topic>Glycated Hemoglobin A - analysis</topic><topic>Hemoglobin</topic><topic>Heterogeneity</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>metabolic control</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Randomization</topic><topic>Statistical analysis</topic><topic>Subgroups</topic><topic>Sugar</topic><topic>Systematic review</topic><topic>Telemedicine</topic><topic>telenursing</topic><topic>Telenursing - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Sa</creatorcontrib><creatorcontrib>Jiang, Qiuhuan</creatorcontrib><creatorcontrib>Li, Hongfang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>British Nursing Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Public health Nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Sa</au><au>Jiang, Qiuhuan</au><au>Li, Hongfang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of telenursing in the management of diabetes：A systematic review and meta‐analysis</atitle><jtitle>Public health Nursing</jtitle><addtitle>Public Health Nurs</addtitle><date>2019-07</date><risdate>2019</risdate><volume>36</volume><issue>4</issue><spage>575</spage><epage>586</epage><pages>575-586</pages><issn>0737-1209</issn><eissn>1525-1446</eissn><abstract>Background
Diabetes is a common chronic disease that requires a long‐term regimen. However, the management of diabetes by telenursing is limited and inconclusive.
Objectives
To determine the effectiveness of telenursing on control in diabetes. We conducted a systematic review and meta‐analysis of randomized controlled trials (RCTs).
Methods
We searched electronic databases, including PubMed, Embase, Web of Science and Cochrane Library. Studies comparing telenursing with usual care in diabetes patients were included.
Results
A total of 17 randomized controlled trials were identified. Glycated hemoglobin (HbA1c) dates were pooled using a random effects meta‐analysis method, followed by subgroup analyses to examine heterogeneity. The meta‐analysis showed that the use of telenursing (vs. usual care) was associated with a significant reduction in HbA1c levels compared to usual care, with a pooled 0.68% (95% CI: 0.33–1.03, p = 0.0001; I2 = 95%). For the secondary outcome, the SMD of body mass index (BMI) was −0.25% (95% CI: −0.81 to 0.32%, p = 0.39), with no statistically significant change; the fasting blood sugar (FBS) SMD was −0.19% (95% CI: 0.20 to 1.01, p = 0.003), with a statistically significant change; the total cholesterol (TC) SMD was −0.09% (95% CI: −0.03 to 0.21, p = 0.12), with no statistically significant change.
Conclusions
Telenursing, as a useful tool for patient education and behavioral interventions, can help diabetes patients to improve their glycemic control. However, more studies on up‐to‐date and cost‐effective technologies are needed.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30883888</pmid><doi>10.1111/phn.12603</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-3582-3675</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Body Mass Index Body size Cholesterol Chronic illnesses Clinical trials Control methods Diabetes Diabetes mellitus Diabetes Mellitus, Type 2 - therapy Disease control Disease management Evidence-based medicine Glycated Hemoglobin A - analysis Hemoglobin Heterogeneity Humans Meta-analysis metabolic control Nursing Nursing care Randomization Statistical analysis Subgroups Sugar Systematic review Telemedicine telenursing Telenursing - methods |
| title | The role of telenursing in the management of diabetes：A systematic review and meta‐analysis |
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