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Nursing Care for Patients with Diabetes
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Nursing Care for Patients with Diabetes

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 15 April 2025 | Viewed by 14162

Special Issue Editor

Dr. Eugenia Vlachou

E-Mail Website
Guest Editor
Department of Nursing, University of West Attica, 12243 Egaleo, Greece
Interests: diabetes nursing; diabetes education; maternity–gynecology nursing; endocrinology nursing

Special Issue Information

Dear Colleagues,

The prevalence of diabetes mellitus has increased dramatically in recent decades, particularly in low- and middle-income countries, in which people have become obese. The economic costs of the disease and its complications are expected to increase further in the future, with health policies trying to undertake effective disease prevention measures. Therefore, it is important for nurses to provide patient education, not only to those diagnosed with diabetes, but those who are at high risk of developing diabetes.

Nursing is a science which significantly contributes to diabetes care. A great number of studies have shown that nursing care enables individuals to effectively manage their diabetes and achieve a better quality of life. It is evident that nurses play a major role in diabetes care as specialists, and their contribution to effective diabetes compliance is well established.

This Special Issue seeks empirical and practical studies regarding topics including but not limited to:

  • Compliance;
  • Co-morbidities;
  • Diabetic foot;
  • Education;
  • Psychology;
  • Coping strategies;
  • Health challenges;
  • Health policies;
  • Technology;
  • Others.

Dr. Eugenia Vlachou
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diabetes care
  • self-management
  • self-care
  • diabetic foot
  • diabetes education
  • nursing care
  • quality of life
  • nursing assessment
  • healthcare strategies

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Published Papers (4 papers)

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Research

Jump to: Review, Other

12 pages, 288 KiB  
Article
Factors Related to Evidence-Based Practice among Community Nurses in Greece: A Cross-Sectional Study
by Theodoula Adamakidou, Eleni Ntempeli, Petros Galanis, Alexandra Mantoudi, Christos Kleisiaris, Marianna Mantzorou, Afroditi Zartaloudi, Chrysoula Tsiou and Paraskevi Apostolara
Healthcare 2023, 11(23), 3071; https://doi.org/10.3390/healthcare11233071 - 30 Nov 2023
Cited by 1 | Viewed by 1775
Abstract
Assessing knowledge, attitudes and practices towards evidence-based practice (EBP) is a challenge for healthcare professionals. However, the existing literature focuses on nurses working in acute hospital settings, with nurses working in community and primary healthcare settings receiving comparatively less attention. The purpose of [...] Read more.
Assessing knowledge, attitudes and practices towards evidence-based practice (EBP) is a challenge for healthcare professionals. However, the existing literature focuses on nurses working in acute hospital settings, with nurses working in community and primary healthcare settings receiving comparatively less attention. The purpose of the study was to explore factors that related to attitudes, knowledge and practice of community nurses toward EBP. A cross-sectional study was conducted with a sample of community nurses in Greece. Community nurses around the country were invited to complete an online questionnaire during the period of February to April 2022. To measure nurses’ attitudes, practices and knowledge/skills regarding EBP, the Evidence-Based Practice Questionnaire was used. A total of 164 nurses took part in the study. The mean age of nurses was 41.6 years, with 42.7% having either an MSc or a PhD degree. The overall internal consistency for the EBPQ questionnaire was 0.91. The sample demonstrated a high level of knowledge/skills (mean score of 5.5 on a 7-point scale) and positive attitudes (mean score of 5.5 on a 7-point scale) towards EBP, while the level of EBP practice was moderate (mean score of 4.5 on a 7-point scale). A higher educational level showed a positive relationship with the “practice of EBP” subscale (p = 0.005) and the “knowledge/skills about EBP” subscale (p = 0.003). Additionally, an increase in the knowledge/skills score was associated with a more positive attitude towards EBP (p < 0.001) and better practice of EBP (p = 0.003). The identification of educational level as the main factor related to the knowledge/skills and implementation of EBPs in community nurses emphasizes the necessity for educational initiatives in EBP at both undergraduate and postgraduate levels. Informed nurses who are familiar with current guidelines and evidence can effectively train patients about chronic disease management and prevention. Additionally, creating incentives to motivate participation in lifelong learning programs can indeed play a crucial role in enhancing the proficiency of community nurses in evidence-based practice. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Diabetes)

Review

Jump to: Research, Other

17 pages, 526 KiB  
Review
The Effect of Menopausal Status, Insulin Resistance and Body Mass Index on the Prevalence of Non-Alcoholic Fatty Liver Disease
by Anastasia Ntikoudi, Alketa Spyrou, Eleni Evangelou, Eleni Dokoutsidou and George Mastorakos
Healthcare 2024, 12(11), 1081; https://doi.org/10.3390/healthcare12111081 - 24 May 2024
Cited by 2 | Viewed by 1513
Abstract
Non-alcoholic fatty liver disease (NAFLD) is common and presents in a large proportion—up to 30%—of the global adult female population. Several factors have been linked with NAFLD in women, such as age, obesity, and metabolic syndrome. To extract appropriate details about the topic, [...] Read more.
Non-alcoholic fatty liver disease (NAFLD) is common and presents in a large proportion—up to 30%—of the global adult female population. Several factors have been linked with NAFLD in women, such as age, obesity, and metabolic syndrome. To extract appropriate details about the topic, we conducted an extensive search using various medical subject headings and entry terms including ‘Menopause’, ‘Non-alcoholic fatty liver disease’, ‘Insulin resistance’, and ‘BMI’. This exhaustive search resulted in a total of 180 studies, among which only 19 were able to meet the inclusion criteria. While most of these studies indicated a significant rise in NAFLD prevalence among postmenopausal women, two did not find strong evidence linking menopause with NAFLD. Moreover, it was observed that women with NAFLD had higher insulin resistance levels and BMIs compared to those without the condition. In summary, it is important to consider specific factors like risk profile, hormonal status, and age along with metabolic components when treating women presenting with NAFLD. There is need for data-driven research on how gender affects the sensitivity of biomarkers towards NAFLD as well as the development of sex-specific prediction models—this would help personalize management approaches for women, who stand to benefit greatly from such tailored interventions. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Diabetes)
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Other

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15 pages, 594 KiB  
Systematic Review
Oral Health Education in Patients with Diabetes: A Systematic Review
by Pinelopi Petropoulou, Ioannis Kalemikerakis, Eleni Dokoutsidou, Eleni Evangelou, Theocharis Konstantinidis and Ourania Govina
Healthcare 2024, 12(9), 898; https://doi.org/10.3390/healthcare12090898 - 26 Apr 2024
Viewed by 3127
Abstract
Diabetes is known as a “silent epidemic” and is a public health problem that accounts for 9% of all deaths worldwide. The prevention of diabetes is a significant challenge, as its prevalence and incidence are both increasing rapidly. According to the World Health [...] Read more.
Diabetes is known as a “silent epidemic” and is a public health problem that accounts for 9% of all deaths worldwide. The prevention of diabetes is a significant challenge, as its prevalence and incidence are both increasing rapidly. According to the World Health Organization (WHO), education is the cornerstone of diabetes treatment. Since the severity of oral diseases is significantly higher in diabetic patients, this systematic review aims to highlight the oral care of diabetic patients as a priority for glycemic control and the importance of education for diabetic patients’ oral health. We evaluated 20 clinical studies and 15 meta-analyses from PubMed and Google Scholar over the last five years. Their main themes are the direct relationship between diabetes and oral health, especially periodontitis, and the necessity of education and behaviors that can lead to a better quality of life. Our analysis indicated that good oral health is a critical factor of glycemic control in diabetic patients and can be enhanced by targeted educational programs, backed by long-term medical and dental follow-up. Healthcare personnel should be encouraged to develop their knowledge of oral health in relation to the disease so that behaviors can be adopted to improve patients’ quality of life. Telemedicine could also contribute to patient education and self-management of the disease. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Diabetes)
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15 pages, 2042 KiB  
Systematic Review
Effects of Continuous Glucose Monitoring on Glycemic Control in Type 2 Diabetes: A Systematic Review and Meta-Analysis
by Seung-Yeon Kong and Mi-Kyoung Cho
Healthcare 2024, 12(5), 571; https://doi.org/10.3390/healthcare12050571 - 29 Feb 2024
Cited by 3 | Viewed by 6893
Abstract
As the prevalence of diabetes is rapidly increasing, the use of continuous glucose monitoring, which is effective in improving glycemic control in type 2 diabetes, is increasing. Methods: Systematic review was performed according to PRISMA criteria. The search was conducted for articles published [...] Read more.
As the prevalence of diabetes is rapidly increasing, the use of continuous glucose monitoring, which is effective in improving glycemic control in type 2 diabetes, is increasing. Methods: Systematic review was performed according to PRISMA criteria. The search was conducted for articles published until 31 May 2023 in PubMed, CINAHL, Cochrane Library, EMBASE, ClinicalKey, etc. The meta-analysis involved the synthesis of effect size; tests of homogeneity and heterogeneity; trim and fill plot; Egger’s regression test; and Begg’s test for assessing publication bias. Results: 491 studies were searched, of which 17 studies that met the selection criteria were analyzed. The overall effect on HbA1c was −0.37 (95% CI, −0.63~−0.11, p < 0.001), with HbA1c decreasing significantly after CGM interventions. Sub-analyses showed that the study was statistically significant in those aged 60 years or older, when rt-CGM was used and when the study was performed in multiple centers. Conclusion: The results of this study showed that intervention using CGM was effective in reducing HbA1c in type 2 diabetes. The factors identified in this study can be used as guidelines for developing future CGM intervention programs. Full article
(This article belongs to the Special Issue Nursing Care for Patients with Diabetes)
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