Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153788
Title: THE EFFECTS OF NURSING CASE MANAGEMENT ON GLYCATED HAEMOGLOBIN, BLOOD PRESSURE AND LOW-DENSITY LIPOPROTEIN AMONG ADULTS WITH TYPE 2 DIABETES MELLITUS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: NURUL AZIRAH BINTE JOHARI
Keywords: type 2 diabetes mellitus
nursing case management
glycated haemoglobin
Issue Date: 25-May-2019
Citation: NURUL AZIRAH BINTE JOHARI (2019-05-25). THE EFFECTS OF NURSING CASE MANAGEMENT ON GLYCATED HAEMOGLOBIN, BLOOD PRESSURE AND LOW-DENSITY LIPOPROTEIN AMONG ADULTS WITH TYPE 2 DIABETES MELLITUS: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: As of 2014, 8.5% of the global population is affected by diabetes, with Type 2 diabetes mellitus (T2DM) being the most prevalent. T2DM is a serious health issue as it can lead to other health complications. Nursing case management (NCM) can be used to assist adults with T2DM in managing their illness. However, no review has explored the role of NCM in the management of T2DM among adults. Objective: To assess the effects of NCM on glycated haemoglobin (HbA1c), blood pressure (BP) and low-density lipoprotein (LDL) levels among adults with T2DM. Methods: Eligible studies from CINAHL, PubMed, Embase, CENTRAL, Scopus and ProQuest were identified from the inception of this review to 30 November 2018. Randomized controlled trials evaluating the relationship between NCM and HbA1c, BP and LDL in adults with T2DM were included. The studies’ risk of bias was appraised using the Cochrane risk of bias tool and GRADE. Using Review Manager, meta-analysis, sensitivity and subgroup analyses were performed. The treatment effect and the heterogeneity were assessed using Z-statistics and I2 test respectively. Results: 12 studies with low overall quality of evidence were included. The meta-analysis revealed that NCM effected a greater reduction in the HbA1c levels of adults with T2DM than the control (p = 0.10). NCM was also shown to have significantly reduced the SBP (p = 0.05) and caused a reduction in the DBP (p = 0.24). However, NCM had no effect on the LDL levels (p = 0.94). Conclusion and Implications of the Study: NCM is shown to be effective in improving the HbA1c levels and BP of adults with T2DM, making it an appropriate intervention for the management of T2DM in the community. Due to the low overall quality of evidence, more research should be conducted to confirm the effects of NCM.
URI: https://scholarbank.nus.edu.sg/handle/10635/153788
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