ArticleBMC nursing2025
Effect of narrative nursing on treatment adherence and self-management in elderly patients with diabetes: a randomized controlled trial.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The efficacy of an integrated empowerment and narrative nursing program on enhancing professional identity and alleviating burnout among neonatal nurses: a cluster randomized controlled trial.Frontiers in public health · 2025Trial
- Nursing Support for Exercise Adherence in Chronic Disease Management: A Qualitative Descriptive Study of Patient and Nurse Perceptions.Healthcare (Basel, Switzerland) · 2026Article
- MPNFS-based integrative psychological intervention for adolescents with anxiety disorders: effects on anxiety, self-concept, parenting style, family intimacy, and social support.Frontiers in psychiatry · 2026Article
- Efficacy of Narrative Nursing Model in psychological adjustment and improvement of treatment compliance in hypertension patients.Pakistan journal of medical sciences · 2025Article
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Authors and funding
2 authors.
Funding
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Abstract
objectiveTo explore the influence of the narrative nursing model on medication and dietary compliance in elderly patients with diabetes mellitus (DM).
methodsA total of 84 elderly patients with DM admitted to the hospital between January 2022 and January 2023 were randomly assigned to either the control group or observation group, with 42 patients in each group. The control group received standard nursing care for elderly patients with DM, while patients in the observation group received care based on the narrative nursing model. Outcomes compared between the two groups included medication compliance (assessed by the Adherence to Refills and Medications Scale [ARMS] and the Self-Efficacy for Appropriate Medication Use Scale [SEAMS]), dietary behavior compliance, self-management behavior (measured by the Diabetes Self-Management Behavior for Older Adults Scale [DSMB-FOK]), fear of disease progression (assessed by the Fear of Progression Questionnaire-Short Form [FOP-Q-SF]), and the incidence of nursing-related adverse events.
resultsPatients in the observation group had significantly higher scores following treatment in SEAMS, dietary compliance, and DSMB-FOK compared to those in the control group. Conversely, ARMS and FOP-Q-SF scores, as well as the incidence of nursing-related adverse events (2.38%), were significantly lower in the observation group than in the control group (21.43%) (P < 0.05).
conclusionThe narrative nursing model significantly improves medication and dietary compliance, enhances self-management behavior, reduces fear of disease progression, and lowers the occurrence of nursing-related risk events in elderly patients with DM. RELEVANCE FOR CLINICAL PRACTICE: This study provided evidence supporting the effectiveness of the narrative nursing model in enhancing rational medication use and dietary adherence among elderly diabetic patients. It also presented a basis for incorporating narrative nursing into clinical practice to reduce the incidence of adverse events and strengthen comprehensive diabetes management in elderly populations. CLINICAL TRIAL NUMBER: Not applicable.
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