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Effectiveness of Telenursing in the Management of Type 2 Diabetes Mellitus in the Elderly: A Scoping Review Dua, Agnes Epiphania; Novitasari, Desi; Lam, Fadila; irawan, Faisal Adi; Nasifah, Ike Ayunda; Maulana, Jimni; Milaningrum, ⁠Kartika; Badriah, Lailatul; Fernandez, Maria Jia; Rahayu, Ninik Dwi; Indarwati, Retno
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5911

Abstract

Type 2 Diabetes Mellitus (T2DM) results from insulin resistance and is linked to obesity, which accounts for 80% of diabetes cases. The elderly are particularly vulnerable, facing high treatment costs and self-care challenges, including blood sugar monitoring and diet adherence. Complications include hypoglycemia, neuropathy, and cardiovascular diseases. Telenursing is a promising intervention that enhances adherence and provides remote education. However, further research is needed to assess its long-term effectiveness. Objective: this study aims to assess the effectiveness of telenursing in managing type 2 diabetes mellitus in the elderly. Method: This scoping review follows the PRISMA-ScR guidelines, analyzing studies from ProQuest, PubMed, and Scopus. Inclusion criteria focused on studies evaluating the impact of telenursing on elderly patients with T2DM using quantitative or mixed-method approaches. Results: From 716 screened articles, seven met the inclusion criteria. Most studies were conducted in Iran, Saudi Arabia, and Slovenia, with one multinational study involving ten countries. Six studies employed quantitative methodologies, including randomized controlled trials and clinical studies. Findings indicate that telenursing significantly improves medication adherence, blood glucose control, and self-management. It reduces the need for in-person visits and enhances patient education, leading to better glycemic control and lower complication risks. Conclusions: Telenursing proves to be an effective approach for managing T2DM in the elderly, promoting adherence and self-care while reducing healthcare facility visits. Further research is required to evaluate its long-term sustainability and effectiveness.
Efektivitas Intervensi Community Health Worker dalam Pelayanan Kesehatan: A Systematic Review Maulana, Jimni; Efendi, Ferry; Hadisuyatmana, Setho
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55081

Abstract

The risk of heart disease and stroke can be reduced with adequate cardiovascular disease prevention, as outlined in the American Heart Association's Life's Essential 8 guidelines for modifiable health behaviors. This review examines the role of Community Health Workers (CHWs) in CVD prevention trials across the United States. In the 24 clinical trials identified, our review emphasized the effectiveness of CHWs in improving health behaviors and outcomes, particularly for underserved populations with limited access to health care. CHWs were actively involved in implementing interventions, providing culturally sensitive education, offering health coaching, and supporting lifestyle modifications, such as increased physical activity and medication adherence. It is noteworthy that most studies focused on heart disease. Beyond the CHW's role in delivering behavioral interventions, training for community health workers (CHWs) generally includes disease-specific knowledge and communication skills. CHW training programs vary widely in scope and standards, with unclear role definitions and inadequate collaboration. To improve CHW-led preventive health care, it is recommended to develop a standardized training framework, define CHW responsibilities in clinical and research collaborations, and build sustainable community-academic partnerships. This action could significantly enhance the role of CHWs in reducing cardiovascular disease (CVD) disparities, thereby promoting more equitable health care.