PMID- 35351730
OWN - NLM
STAT- MEDLINE
DCOM- 20220414
LR  - 20221207
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 12
IP  - 3
DP  - 2022 Mar 28
TI  - Nurse-led care versus usual care on cardiovascular risk factors for patients with 
      type 2 diabetes: a systematic review and meta-analysis.
PG  - e058533
LID - 10.1136/bmjopen-2021-058533 [doi]
LID - e058533
AB  - OBJECTS: This study aims to systematically evaluate the effectiveness of 
      nurse-led cares on cardiovascular risk factors among individuals with type 2 
      diabetes mellitus. DESIGN: Systematic review and meta-analysis. METHODS: The 
      electronic databases PubMed, EMBASE, CINAHL and Cochrane Library databases were 
      searched for randomised controlled trials of nurse-led care for individuals with 
      type 2 diabetes mellitus (T2DM) published in English from inception to 23 
      December 2021. Random effects models were used to calculate weighted mean 
      differences (WMD) with 95%CI. RESULTS: 13 articles were included in the 
      meta-analysis, with a total of3757 participants. Considering baseline 
      measurements, pooled analysis showed that nurse-led care significantly decreased 
      the glycosylated haemoglobin (HbA1c) (WMD=-0.68 mmol/L; 95% CI -0.85 to -0.52; 
      p<0.001), body mass index (BMI) (WMD=-0.54 kg/m(2); 95% CI: -0.97 to -0.11; 
      p=0.01) and systolic blood pressure (SBP) (WMD=-1.17 mmHg; 95% CI: -2.11 to 
      -0.22; p=0.02) for patients with T2DM. But there was no difference in low-density 
      lipoprotein cholesterol (LDL-c) (WMD=-2.50 mg/dL ; 95% CI: -5.07 to 0.08; p=0.06) 
      between the nurse-led and control groups. CONCLUSION: Nurse-led care is an 
      effective and accessible intervention that could improve HbA1c, SBP, BMI levels 
      among individuals with T2DM. PROSPERO REGISTRATION NUMBER: CRD42021248275.
CI  - (c) Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No 
      commercial re-use. See rights and permissions. Published by BMJ.
FAU - Zhang, Jiayu
AU  - Zhang J
AUID- ORCID: 0000-0002-1151-992X
AD  - School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, 
      China.
FAU - Zheng, Xutong
AU  - Zheng X
AD  - School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, 
      China.
FAU - Ma, Danyan
AU  - Ma D
AD  - School of Medicine, Xiamen University, Xiamen, China.
FAU - Liu, Changqin
AU  - Liu C
AUID- ORCID: 0000-0001-8063-7906
AD  - Department of Endocrinology and Diabetes, the First Affiliated Hospital of Xiamen 
      University, School of medicine, Xiamen university, Xiamen, China 
      liuchangqin@xmu.edu.cn xmdyyydyl@163.com.
AD  - The Third Clinical Medical College, Fujian Medical University, Fuzhou, China.
AD  - Xiamen Diabetes Quality Control Center, the First Affiliated Hospital of Xiamen 
      University, School of medicine, Xiamen university, Xiamen, China.
AD  - Fujian Province Key Laboratory of Diabetes Translational Medicine, the First 
      Affiliated Hospital of Xiamen University, School of medicine, Xiamen university, 
      Xiamen, China.
FAU - Ding, Yulan
AU  - Ding Y
AD  - Department of Nursing, The First Affiliated Hospital of Xiamen University, School 
      of Medicine, Xiamen University, Xiamen, China liuchangqin@xmu.edu.cn 
      xmdyyydyl@163.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Research Support, Non-U.S. Gov't
PT  - Systematic Review
DEP - 20220328
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - *Cardiovascular Diseases/etiology/prevention & control
MH  - *Diabetes Mellitus, Type 2/complications/therapy
MH  - Glycated Hemoglobin/analysis
MH  - Heart Disease Risk Factors
MH  - Humans
MH  - Nurse's Role
MH  - Risk Factors
PMC - PMC8961115
OTO - NOTNLM
OT  - diabetes & endocrinology
OT  - education & training (see medical education & training)
OT  - risk management
COIS- Competing interests: None declared.
EDAT- 2022/03/31 06:00
MHDA- 2022/04/15 06:00
PMCR- 2022/03/28
CRDT- 2022/03/30 05:40
PHST- 2022/03/30 05:40 [entrez]
PHST- 2022/03/31 06:00 [pubmed]
PHST- 2022/04/15 06:00 [medline]
PHST- 2022/03/28 00:00 [pmc-release]
AID - bmjopen-2021-058533 [pii]
AID - 10.1136/bmjopen-2021-058533 [doi]
PST - epublish
SO  - BMJ Open. 2022 Mar 28;12(3):e058533. doi: 10.1136/bmjopen-2021-058533.