Educational Challenges to Nurses and Nurse Aides of Caring for Diabetic Patients at Home: A Systematic Review

Purpose The purpose of this systematic review and meta-analysis was to investigate the efficacy of propolis on glycemic indices in type 2 diabetic patients. Design/methodology/approach Web of science (ISI), Embase, Scopus and PubMed were systematically searched to find randomized controlled trials (RCTs) assessing the effects of propolis intake on glycemic controls in type 2 diabetic patients, from inception up to September 1, 2020. A random-effects model was used to pool weighted mean difference (WMD). Meta-regression was performed to detect the potential sources of inter-study heterogeneity. Findings Seven trials were included in the meta-analysis. Compared to controls, propolis intake significantly improved serum fasting blood sugar (FBS) (WMD = −13.62 mg/dl, 95% CI = [−23.04, −4.20], P = 0.005, I2 = 58.5%) and hemoglobin A1C (HbA1c) (WMD = −0.52%, 95% CI = [−0.86, −0.18], P = 0.002, I2 = 64.0%). In contrast, receiving propolis did not change serum insulin (WMD = −1.46 (uIU/ml), 95% CI = [−2.94, 0.02], P = 0.05, I2 = 75.0%) and homeostatic model assessment for insulin resistance (HOMA-IR) (WMD = −0.98 (%), 95% CI = [−2.00, 0.04], P = 0.06, I2 = 82.3%) compared to controls. Originality/value The present meta-analysis demonstrated that propolis intake significantly reduces serum FBS and HbA1c in diabetic patients but does not alter serum insulin and HOMA-IR. Further large-scale RCT’s are needed to approve these effects.

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A systematic review of local antibiotic devices used to improve wound healing following the surgical management of foot infections in diabetics

The Bone & Joint Journal ◽

10.1302/0301-620x.100b11.bjj-2018-0720 ◽

2018 ◽

Vol 100-B (11) ◽

pp. 1409-1415 ◽

Cited By ~ 1

Author(s):

B. A. Marson ◽

S. R. Deshmukh ◽

D. J. C. Grindlay ◽

B. J. Ollivere ◽

B. E. Scammell

Keyword(s):

Systematic Review ◽

Wound Healing ◽

Surgical Management ◽

Case Series ◽

Diabetic Patients ◽

Local Antibiotics ◽

Wound Breakdown ◽

Patients With Diabetes ◽

Local Antibiotic ◽

Antibiotic Delivery

Aims Local antibiotics are used in the surgical management of foot infection in diabetic patients. This systematic review analyzes the available evidence of the use of local antibiotic delivery systems as an adjunct to surgery. Materials and Methods Databases were searched to identify eligible studies and 13 were identified for inclusion. Results Overall, the quality of the studies was poor. A single trial suggested that wound healing is quicker when a gentamicin-impregnated collagen sponge was implanted at time of surgery, with no difference in length of stay or rate of amputation. Results from studies with high risk of bias indicated no change in wound healing when a gentamicin-impregnated sponge was implanted during transmetatarsal amputation, but a reduction in the incidence of wound breakdown (8% vs 25%, not statistically significant) was identified. A significant cost reduction was identified when using an antimicrobial gel to deliver antibiotics and anti-biofilm agents (quorum-sensing inhibitors) compared with routine dressings and systemic antibiotics. Analyses of case series identified 485 patients who were treated using local antibiotic delivery devices. The rates of wound healing, re-operation, and mortality were comparable to those that have been previously reported for the routine management of these infections. Conclusion There is a lack of good-quality evidence to support the use of local antibiotic delivery devices in the treatment of foot infections in patients with diabetes. Cite this article: Bone Joint J 2018;100-B:1409–15.

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PMD65 Systematic Review of Studies of the Efficiency of Negative Pressure therapy for Complex Foot Wounds in Diabetic Patients

Value in Health ◽

10.1016/j.jval.2011.08.136 ◽

2011 ◽

Vol 14 (7) ◽

pp. A256

Author(s):

L. Quecedo ◽

J. Del llano

Keyword(s):

Systematic Review ◽

Negative Pressure ◽

Diabetic Patients ◽

Negative Pressure Therapy ◽

Pressure Therapy

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Early discharge to therapy-based rehabilitation at home in patients with stroke: a systematic review

Physical Therapy Reviews ◽

10.1179/174328808x252091 ◽

2008 ◽

Vol 13 (3) ◽

pp. 167-187 ◽

Cited By ~ 11

Author(s):

Annette Winkel ◽

Charlotte Ekdahl ◽

Gunvor Gard

Keyword(s):

Systematic Review ◽

Early Discharge ◽

At Home

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Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis.Diabetics’ self-care practice and its determinants among Adult diabetic patients in Ethiopia: A systematic review and meta-analysis

10.21203/rs.2.18987/v2 ◽

2019 ◽

Author(s):

Fikadu Ambaw Yehualashet ◽

Wuber Worku Takele ◽

Eleni Tesfaye Tegegne ◽

Amare Demsie Ayele

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Systematic Review ◽

Meta Analysis ◽

National Level ◽

Self Care ◽

Care Practice ◽

Diabetic Patients ◽

Qualitative Synthesis ◽

Complications Of Diabetes

Abstract Background Appropriate diabetic self-care is indispensable to prevent and limit diabetic associated short and long term complications including death. Despite the well-recorded devastating complications of diabetes mellitus, a pooled percentage of diabetic patients applying self-care and its determinants at the national level have remained unknown. Therefore, this comprehensive systematic review and meta-analysis is aimed at determining the pooled national percentage of diabetic self-care practice and its determinants among adult diabetic patients in Ethiopian. Methods: Different electronic databases including PubMed/Medline and search engines such as Google scholar were used to retrieve published studies. The Joanna Briggs Institute quality appraisal checklists were used to appraise the quality of studies. Data were extracted using excel spreadsheets and analyses were done by STATA 14. Heterogeneity among studies was diagnosed using the I2 test. The DerSimonian and Laird random-effects model was employed for substantial heterogeneity (I2>50%). The pooled estimate of diabetic self-care and odds ratio was reported based on the 95% CI. Results: A total of 3861 studies were identified, of which only 19 studies have reached the final qualitative synthesis and quantitative analysis. Well over half of the Ethiopian diabetic patients have good self-care 54.04% (47.07-61.01, I2 =97.3, P<0.001). Subgroup analysis showed that the highest pooled estimate was in Southern Nations Nationalities and Peoples 81.96(71.85-92.04), I2=89.1, P<0.002) while the lowest was from the Hareri region 44.53(32.16-56.89) I2=94%%, P<0.001). Being knowledgeable about diabetes mellitus 2.69 (1.62, 4.46; I2 =99%, P<0.001), having good social support 2.25(1.49-3.39; I2=99%, P=0.00), owning private glucometer 3.04(1.64, 5.65; I2=97.4, P<0.001), and being urban residents 3.26(2.24, 4.74; I2=96.3%, P<0.001) have promoted diabetic victims to apply self-care practice. Conclusions: Despite the life-threatening complications of diabetes mellitus, the percentage of patients applying self-care has remained low in Ethiopia, depicting the high proportion of diabetic patients are prone to develop long and short term complications of diabetes mellitus. Therefore, improving the client’s awareness about the disease and counseling clients about the significance of social support are believed to be possible strategies to improve self-care practice and policymakers are strongly recommended to combat complications to attain sustainable development goal 3.4 aims to reduce premature death.

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