What is an Evidence Summary?
Key messages from scientific research that's ready to be acted on
Got It, Hide this
People with chronic disease can benefit from self-management support provided by nurses in the community
Massimi A, De VC, Brufola I, et al. Are community-based nurse-led self-management support interventions effective in chronic patients? Results of a systematic review and meta-analysis PLoS One. 2017 March. 12(3): e0173617
- For patients with chronic disease, is self-management support provided by community-based nurses effective compared to usual care in terms of health outcomes such as blood pressure, glucose levels and quality of life?
- As more people age and develop chronic illnesses, costs increase and the burden on primary care services continues to increase. As such, great emphasis has been placed on educational interventions such as self-management for chronic-disease patients.
- Transferring tasks from physicians to specially trained nurses is a promising way to administer educational interventions focused on the self-management of chronic diseases while reducing workload for physicians.
- Although there are individual studies on this topic, this is the first systematic review that aims to identify specific characteristics that may make interventions more effective.
- A detailed search of a number of electronic databases for studies published up to July 2016 was conducted. Studies that focused on nurse-led self-management support interventions in a community setting for patients 18 years and older with a diagnosis of chronic disease were included in the review.
- A total of 7,279 studies were identified in searches, and 23 were included in the review after assessments for eligibility.
- The authors did not acknowledge any funding sources for this review.
What the researchers found
- Researchers found that nurse-led self-management support interventions in chronic-care community programs have an affect on reducing blood pressure.
- While this approach lead to a reduction in measurements of blood sugar levels, a reduction in fasted blood sugar levels was not strongly supported.
- Other blood levels and quality-of-life outcomes were inconclusive.
- Furthermore, researchers found that those with diabetes and coronary vascular disease can benefit most from nurse-led self-management.
- Community-based nurse-led self-management programs have shown to be helpful in educating patients with diabetes and coronary vascular disease, particularly in supporting them to manage blood pressure and long-term blood sugar levels.
A comprehensive evaluation of the available research evidence on a particular topic.
The body's network of blood vessels. It includes the arteries, veins, and capillaries that carry blood to and from the heart.
Related Evidence Summaries
Archives of Physical Medicine and Rehabilitation (2017)
JAMA Internal Medicine (2016)
Journal of the American Geriatrics Society (2017)
Related Web Resources
Harvard School of Public Health
Obesity can increase your risk of diabetes, heart disease, depression, breathing problems and early death. Obesity can also affect your social life and sexual function. Losing weight, or avoiding gaining weight, can help improve your health.
Symptoms of Exocrine Pancreatic Insufficiency (EPI) include stomach pain, weight loss, and diarrhea. EPI often happens when you have another medical condition like cystic fibrosis. You can lower your chances of developing EPI by drinking less alcohol, eating healthy, and not smoking. Talk to your doctor to learn more.
National Women’s Health Network
Symptoms of diabetic neuropathy (nerve pain) range from numbness to severe pain. Some evidence suggests alternative treatments may help with pain such as exercise, capsaicin skin cream or dietary supplements such as alpha-lipoic acid, vitamin B12 and vitamin D.
DISCLAIMER These summaries are provided for informational purposes only. They are not a substitute for advice from your own health care professional. The summaries may be reproduced for not-for-profit educational purposes only. Any other uses must be approved by the McMaster Optimal Aging Portal