Self-management nursing intervention for controlling glucose among diabetes: a systematic review and meta-analysis
Open accessAbstract
As the diabetic population increases, self-management of diabetes, a chronic disease, is important. Given that self-management nursing interventions using various techniques have been developed, an analysis of their importance is crucial. This study aimed to identify the overall effects of self-management nursing interventions on primary (HbA1c) and secondary (self-care, self-efficacy, fasting blood sugar level blood pressure, lipid, body mass index, waist circumference, distress, anxiety, depression, and quality of life) outcomes in diabetes. Systematic review and meta-analysis were used. The meta-analysis involved the synthesis of effect size; tests of homogeneity and heterogeneity; trim and fill plot; Egger's regression test; and Begg's test for assessing publication bias. The overall effect on HbA1c was -0.55, suggesting a moderate effect size, with HbA1c decreasing significantly after nursing interventions. Among the nursing interventions, the overall effect on HbA1c of nurse management programs, home visiting, and customized programs was -0.25, -0.61, and -0.65, respectively, a small or medium effect size, and was statistically significant. Healthcare professionals may encourage people with diabetes to engage in self-management of their glucose levels, such as patient-centered customized intervention. Interventions that reflect the individual's characteristics and circumstances are effective in enabling self-management.
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Various health care professionals working with people with diabetes may contribute to psychosocial care in different ways based on training, experience, need, and availability.
“Various health care professionals working with people with diabetes may contribute to psychosocial care in different ways based on training, experience, need, and availability (313,326,327).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [326]
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Ye, H., Ma, Y., Yan, L., Yang, Y., & Wei, C. (2026) · Journal of Visualized Experiments · doi:10.3791/71439
Self-management in Korean immigrants with type 2 diabetes in the United States: a systematic review
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Aykemat, Y., Doğru, B. V., & Serin, E. K. (2026) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-026-02033-z
Wang, X., He, F., Zhang, Q., Meng, Y., Chen, T., & Zhu, Y. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1911349
Zhu, Q., Xia, M., Zheng, S., Gao, X., Lan, X., & Lu, S. (2026) · Frontiers in Endocrinology · doi:10.3389/fendo.2026.1941060
- Authors
- Cho, M.-K., & Kim, M. Y.
- Affiliations
- Chungbuk National University (KR)
- Hanyang University (KR)
- Corresponding author
- Kim, Mi Young
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2021-12-03
- Volume
- 18
- Issue
- 23
- Pages
- 12750
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8657503
- OpenAlex
- W4200539244
- Cited by
- 57
- References
- 55
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 14 · 2023: 13 · 2022: 5
- FWCI
- 1.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Health Professions › Pharmacy › Nursing care and research
- Keywords
- diabetes self-management, nursing interventions, glycemic control, HbA1c, self-care, self-efficacy, blood pressure, serum lipids, body mass index, waist circumference, diabetes distress, anxiety, depression, quality of life, home visiting
- MeSH terms
- Self-Management, Diabetes Mellitus, Diabetes Mellitus, Type 2, Glucose, Humans, Quality of Life, Self Care
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