Meta-Analysis
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World J Diabetes. Feb 15, 2025; 16(2): 100801
Published online Feb 15, 2025. doi: 10.4239/wjd.v16.i2.100801
Improving nursing care protocols for diabetic patients through a systematic review and meta-analysis of recent years
Mónica Grande-Alonso, María Barbado García, Soledad Cristóbal-Aguado, Soledad Aguado-Henche, Rafael Moreno-Gómez-Toledano
Mónica Grande-Alonso, María Barbado García, Soledad Aguado-Henche, Rafael Moreno-Gómez-Toledano, Universidad de Alcalá, Department of Surgery, Medical and Social Sciences, Area of Human Anatomy and Embryology, Alcalá de Henares 28871, Spain
Soledad Cristóbal-Aguado, Universidad de Alcalá, Department of Nursery, Alcala de Henares 28871, Madrid, Spain
Soledad Cristóbal-Aguado, Department of Nursery, Príncipe de Asturias University Hospital (HUPA), Alcala de Henares 28871, Madrid, Spain
Author contributions: Grande-Alonso M and Moreno-Gómez-Toledano R contributed to conceptualization; Grande-Alonso M, Barbado García M, Cristóbal-Aguado S, Aguado-Henche S, and Moreno-Gómez-Toledano R contributed to the systematic review; Grande-Alonso M, Barbado García M, Cristóbal-Aguado S, Aguado-Henche S, and Moreno-Gómez-Toledano R contributed to the qualitative analysis; Grande-Alonso M and Moreno-Gómez-Toledano R contributed to data curation, formal analysis, methodology, and writing the original draft; Grande-Alonso M, Barbado García M, Cristóbal-Aguado S, Aguado-Henche S, and Moreno-Gómez-Toledano R contributed to the investigation; Grande-Alonso M, Barbado García M, Cristóbal-Aguado S, Aguado-Henche S, and Moreno-Gómez-Toledano R contributed to writing and editing the review; All authors read and agreed to the published version of the manuscript.
Conflict-of-interest statement: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rafael Moreno-Gómez-Toledano, PhD, Assistant Professor, Universidad de Alcalá, Department of Surgery, Medical and Social Sciences, Area of Human Anatomy and Embryology, Campus Universitario-C/19, Av. de Madrid, Alcalá de Henares 28871, Spain. rafael.moreno@uah.es
Received: August 28, 2024
Revised: October 24, 2024
Accepted: November 21, 2024
Published online: February 15, 2025
Processing time: 125 Days and 19.3 Hours
Abstract
BACKGROUND

Diabetes mellitus has become one of the major pandemics of the 21st century. In this scenario, nursing interventions are essential for improving self-care and quality of life in patients with type 2 diabetes mellitus. Nursing interventions are crucial for managing the disease and preventing complications.

AIM

To analyse nursing interventions in recent years through a systematic review and meta-analysis and to propose improvements in care plans.

METHODS

This study conducted a systematic review and meta-analysis of the impact of nursing interventions on quantitative glycaemic variables, such as glycated haemoglobin and fasting plasma glucose.

RESULTS

After confirming that the combined effect of all studies from the past 5 years positively impacts quantitative variables, a descriptive analysis of the studies with the most significant changes was conducted. Based on this, an improvement in diabetic patient care protocols has been proposed through follow-up plans tailored to the patient’s technological skills.

CONCLUSION

The combined results obtained and the proposal for improvement developed in this manuscript could help to improve the quality of life of many people around the world.

Keywords: Diabetes mellitus; Nursing interventions; Systematic review; Meta-analysis; Protocol enhancement proposal

Core Tip: Diabetes mellitus is a major global health issue, and practical nursing interventions are vital for improving self-care and quality of life for patients with type 2 diabetes mellitus. This study presented a systematic review and meta-analysis evaluating the impact of nursing interventions on glycaemic control, specifically glycated haemoglobin and fasting plasma glucose. The findings confirmed that these interventions significantly improved glycaemic parameters. Based on these insights, the study proposes protocol enhancements, including personalized follow-up plans aligned with patients’ technological abilities, to optimize care and improve outcomes for millions worldwide.