Nursing consultation based on supported self-care for the management of type 2 diabetes mellitus: a quasi-experimental study.
Elen Ferraz Teston, Gabrielly Segatto Brito, Rosilene Rocha Palasson and 3 others
PMID 42484302WHAT IT FOUND
Nurse-led diabetes consultations with goal setting and phone follow-up improved self-care activity scores, total cholesterol, VLDL and triglyceride measures.
Fasting glucose and HbA1c were not shown to improve.
Key findings
01Participants who received nurse-led consultations and phone follow-up had higher diabetes self-care activity scores after the intervention, while the comparison group did not show a statistically significant change.
02The intervention showed significant time-by-group effects on total cholesterol, VLDL and triglycerides, but not on fasting glucose or HbA1c.
03Healthy eating was the most frequently agreed self-care goal, followed by physical activity.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The groups were assigned by clinic, not randomly, and the sample was convenience-based, so baseline or unit differences may explain part of the result. Only Twenty-nine people received the intervention and 28 were compared, so the estimates are imprecise. Baseline education level differed significantly between the groups. The study did not control for failures in medication distribution during data collection or risk stratification. All consultations were delivered by one trained nurse-researcher, so feasibility for routine primary care nursing staff is unclear.
Declared interests
The funding and conflict-of-interest section lists CAPES, FUNDECT, a PAHO/WHO collaborating centre activity, and a master's thesis.
The easy way to misread this
Do not conclude that nurse-led consultations improve overall diabetes control. The self-care score and some lipid measures changed, but fasting glucose and HbA1c did not reach statistical significance, and the study was non-randomized with small groups and uncontrolled medication distribution.