Mental health nursing care for people with diabetes mellitus: An integrative review.
Bianca Brandão da Silva, Maria Helena de Melo Lima, Maria Giovana Borges Saidel
PMID 38055591WHAT IT FOUND
Nurse-led mental health care for diabetes shows mixed results.
While self-management and therapeutic communication improved mood and adherence, nurse-delivered cognitive behavioral therapy failed to improve glycemic control compared to standard care.
Key findings
01Training nurses in Motivational Interviewing and Cognitive Behavioral Therapy did not improve glycemic control compared to standard care.
02Self-management interventions and therapeutic communication strategies were associated with improved mental health, adherence, and reduced psychological distress.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included studies with varying designs, many of which had low levels of evidence (qualitative or descriptive). Only 14 studies were included, and the literature on this specific topic was described as scarce. The review excluded non-English/Spanish/Portuguese papers and those not available in full text, potentially missing relevant data.
The easy way to misread this
Do not assume that nurse-delivered psychological interventions will improve blood sugar levels. One high-quality trial showed no difference in glycemic control compared to standard care, even though mental health and adherence outcomes were positive.