Review Articles
Effects of Telehome Monitoring-Based Telenursing in People with Type 2 Diabetes: A Systematic Review and Meta-Analysis
2023 Volume 26 Issue 2 Pages 71-85
Details
2023 Volume 26 Issue 2 Pages 71-85
Introduction: This systematic review and meta-analysis compared the health outcomes of people who received telehome monitoring-based telenursing between nurses and people with type 2 diabetes mellitus, with those who received only in-person care.
Method: We reviewed the literature by searching for randomized controlled trials (RCTs) in CINAHL Plus with Full Text, PubMed, Embase, and CENTRAL. The eligibility criteria were as follows: (1) involved participants diagnosed with Type 2 diabetes mellitus; (2) related to telehome monitoring-based telenursing between patients and nurses; (3) compared RCT approach with in-person care; (4) written in English; and (5) involved participants who were at least 18 years. In particular, studies that compared interventions using videoconferencing, telephone, and telehome monitoring were assessed qualitatively and quantitatively.
Results: Eight studies were included in this review. All of them showed a significant decrease in HbA1c levels. Six RCTs evaluated blood pressure, three RCTs evaluated BMI and glucose, five RCTs evaluated weight, four RCTs evaluated lipids, and two RCTs evaluated insulin dose and QOL. The meta-analysis showed a significant reduction in HbA1c levels (mean difference = -0.23; 95% confidence interval = -0.45 to -0.01; I² = 0%; p = .04).
Conclusion: Telehome monitoring-based telenursing for people with type 2 diabetes has the potential to improve their HbA1c levels. However, the precision of the evidence was limited owing to the high risk of bias.
