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


Yüksel M., Celik F., Bektas H.

WORLDVIEWS ON EVIDENCE-BASED NURSING, vol.21, no.1, pp.68-78, 2024 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 21 Issue: 1
  • Publication Date: 2024
  • Doi Number: 10.1111/wvn.12687
  • Journal Name: WORLDVIEWS ON EVIDENCE-BASED NURSING
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE, Psycinfo
  • Page Numbers: pp.68-78
  • Keywords: glycemic control, glycosylated hemoglobin, meta-analysis, nurse-led telephone-based, type 2 diabetes
  • Akdeniz University Affiliated: Yes

Abstract

BackgroundTelenursing interventions can contribute to achieving optimal glycemic control.AimThis meta-analysis aimed to determine the effect of nurse-led telephone-based interventions on glycosylated hemoglobin (HbA1c) levels in people with type 2 diabetes.MethodsWe 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.ResultsEight 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 ActionNurse-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.