Effectiveness of a nursing educational intervention for controlling glycosylated hemoglobin in patients with Type II Diabetes Mellitus

Abstract

Objective: To analyze the evidence regarding the effectiveness of a nursing educational intervention for the control of glycosylated hemoglobin in patients with type II diabetes mellitus. Materials and Methods: Observational and retrospective systematic review. The search was limited to full-text articles, and the final selection included 10 articles. Two articles were from Brazil, China, and Spain, respectively, while one article was from Japan, Thailand, Mexico, and the United States. The majority of the studies (70%) were randomized controlled trials and originated from China, Spain, Japan, Thailand, the United States, and Brazil, with the first five contributing one article each and Brazil contributing two. Additionally, one quasi-experimental study from Mexico, one cohort study from Spain, and one case-control study from China were included. Results: 90% of the analyzed articles state that educational interventions are effective in controlling glycosylated hemoglobin in patients with type II diabetes mellitus. Conclusion: A nursing educational intervention for self-care is effective in controlling glycosylated hemoglobin in patients with type II diabetes mellitus.

Objetivo: Analizar la evidencia acerca de la eficacia de una intervención educativa de enfermería, el control de la hemoglobina glicosilada en pacientes con diabetes mellitus tipo II. Materiales y métodos: Revisión Sistemática observacional y retrospectiva. La búsqueda se ha restringido a artículos con texto completo, en la selección definitiva se eligieron 10 articulos, encontramos que dos corresponden a Brasil, China y España respectivamente, Japon, Tailandia, Mexico y Estados Unidos, cada uno de ellos aporto un articulo. En su mayoría los estudios son ensayos controlados aleatorios, un 70%, proceden de china, España, Japon ,Tailandia, Estados Unidos y Brasil, los 5 primeros aportan un articulo cada uno y Brasil dos; además se ha incluido un estudio cuasi experimental de Mexico, un estudio de cohorte perteneciente a España y una investigación de casos y controles de China. Resultados: El 90% de los artículos analizados afirma que las intervenciones educativas son eficaces en el control de la hemoglobina glicosilada, en los pacientes con diabetes mellitus tipo II. Conclucion: Una intervención educativa de enfermería para el autocuidado, es eficaz en el control de la hemoglobina glicosilada en pacientes con diabetes mellitus tipo II