Evidence map›Paper›PMID 40860544›Full record

SynthesisFrontiers in public health2025

Impact of nurse-led self-management education on type 2 diabetes: a meta-analysis.

Jiabao Sun, Zhenwei Fan, Mengyuan Kou, Xuewei Wang, Zhongmin Yue, Min Zhang

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jiabao SunSchool of Nursing, Beihua University, Jilin City, Jilin, China.
Zhenwei FanSchool of Nursing, Beihua University, Jilin City, Jilin, China.
Mengyuan KouSchool of Nursing, Beihua University, Jilin City, Jilin, China.
Xuewei WangSchool of Nursing, Beihua University, Jilin City, Jilin, China.
Zhongmin YueSchool of Nursing, Beihua University, Jilin City, Jilin, China.
Min ZhangSchool of Nursing, Beihua University, Jilin City, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diabetes Self-Management Education (DSME) is a cornerstone strategy for improving glycemic control, yet its clinical effectiveness is often limited by suboptimal adherence. The aim of this study is to evaluate through meta-analysis the impact of nurse-led DSME on glycemic control, lipid profiles, and self-efficacy in adults with type 2 diabetes mellitus (T2DM). Methods: Following PRISMA 2020 guidelines, we systematically searched PubMed, EMBASE, and Web of Science databases (up to February 28, 2025). Inclusion criteria comprised: randomized controlled trials (RCTs) comparing nurse-led DSME (≥3 structured sessions) vs. usual care or other non-nurse-led interventions. Risk of bias was assessed using Cochrane RoB 2.0. Effect sizes [mean difference (MD) or standardized mean difference (SMD)] were pooled using R meta package with random-effects models ( Results: Eight RCTs (reporting HbA1c outcomes) were included. Meta-analysis demonstrated: (1) Glycemic control: nurse-led DSME significantly reduced HbA1c at 4-6 months (MD = -0.92, 95% CI: -1.44 to -0.41) and >6 months (MD = -0.54, 95% CI: -0.86 to -0.23; Conclusion: Nurse-led DSME effectively improves long-term glycemic control and self-efficacy while elevating HDL levels in T2DM patients, though standardization of intervention protocols is needed to reduce heterogeneity. This study supports integrating nurse-led models into diabetes management guidelines and recommends future research focus on long-term follow-up and cost-effectiveness analyses. Systematic review registration: https://doi.org/10.37766/inplasy2025.7.0114, identifier: NPLASY202570114.

Indexed as

Diabetes Mellitus, Type 2Patient Education as TopicSelf-ManagementGlycated HemoglobinHumansRandomized Controlled Trials as TopicSelf EfficacyGlycated Hemoglobindiabetes self-management educationmeta-analysisnurse-ledself-efficacytype 2 diabetes mellitus

Identifiers

PMID40860544
PMCPMC12375586

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.