The Library
Specialist nurses in diabetes mellitus
Tools
Tools
Tools
Loveman, Emma, Royle, Pamela and Waugh, Norman (2003) Specialist nurses in diabetes mellitus. Cochrane Database of Systematic Reviews, 2010 (1). CD003286. doi:10.1002/14651858.CD003286 ISSN 1469-493X.
|
PDF
WRAP-Specialist-nurses-in-diabetes-mellitus-Waugh-2003.pdf - Published Version - Requires a PDF viewer. Download (366Kb) | Preview |
Official URL: http://dx.doi.org/10.1002/14651858.CD003286
Abstract
Background
The patient with diabetes has many different learning needs relating to diet, monitoring, and treatments. In many health care systems specialist nurses provide much of these needs, usually aiming to empower patients to self‐manage their diabetes. The present review aims to assess the effects of the involvement of specialist nurse care on outcomes for people with diabetes, compared to usual care in hospital clinics or primary care with no input from specialist nurses.
Objectives
To assess the effects of diabetes specialist nurses / nurse case manager in diabetes on the metabolic control of patients with type 1 and type 2 diabetes mellitus.
Search methods
We carried out a comprehensive search of databases including the Cochrane Library, MEDLINE and EMBASE to identify trials. Bibliographies of relevant papers were searched, and hand searching of relevant publications was undertaken to identify additional trials.
Selection criteria
Randomised controlled trials and controlled clinical trials of the effects of a specialist nurse practitioner on short and long term diabetic outcomes were included in the review.
Data collection and analysis
Three investigators performed data extraction and quality scoring independently; any discrepancies were resolved by consensus.
Main results
Six trials including 1382 participants followed for six to 12 months were included. Two trials were in adolescents. Due to substantial heterogeneity between trials a meta‐analysis was not performed. Glycated haemoglobin (HbA1c) in the intervention groups was not found to be significantly different from the control groups over a 12 month follow up period. One study demonstrated a significant reduction in HbA1c in the presence of the diabetes specialist nurse/nurse case manager at 6 months. Significant differences in episodes of hypoglycaemia and hyperglycaemia between intervention and control groups were found in one trial. Where reported, emergency admissions and quality of life were not found to be significantly different between groups. No information was found regarding BMI, mortality, long term diabetic complications, adverse effects, or costs.
Authors' conclusions
The presence of a diabetes specialist nurse / nurse case manager may improve patients' diabetic control over short time periods, but from currently available trials the effects over longer periods of time are not evident. There were no significant differences overall in hypoglycaemic episodes, hyperglycaemic incidents, or hospital admissions. Quality of life was not shown to be affected by input from a diabetes specialist nurse/nurse case manager.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RT Nursing |
||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||
| Library of Congress Subject Headings (LCSH): | Nursing specialties, Diabetes, Diabetics -- Care | ||||
| Journal or Publication Title: | Cochrane Database of Systematic Reviews | ||||
| Publisher: | John Wiley & Sons Ltd. | ||||
| ISSN: | 1469-493X | ||||
| Official Date: | 22 April 2003 | ||||
| Dates: |
|
||||
| Volume: | 2010 | ||||
| Number: | 1 | ||||
| Number of Pages: | 25 | ||||
| Article Number: | CD003286 | ||||
| DOI: | 10.1002/14651858.CD003286 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Copyright Holders: | The Cochrane Collaboration | ||||
| Date of first compliant deposit: | 15 November 2022 | ||||
| Date of first compliant Open Access: | 16 November 2022 |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
