Unveiling novel insights into Type 2 Diabetes management: a meta-analysis and statistical synthesis of nursing and physiotherapy intervention literature

Authors

  • Eman shokr Department of Community Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Airport Street, Amman, Jordan. https://orcid.org/0000-0002-3035-7073
  • Rasha El-Marakby Department of Physical Therapy, Faculty of Applied Medical Sciences, Irbid National University, Irbid, Jordan. https://orcid.org/0009-0007-4132-0093
  • Kamlah AL-Olimat Department of Maternal and Child Health, School of Nursing, Zarqa University, Zarqa, Jordan. https://orcid.org/0009-0007-9635-846X
  • Rasha Alqadi Department of Medical-Surgical Nursing, North Private College of Nursing, Arar, Saudi Arabia. https://orcid.org/0000-0002-1831-0029
  • Hadeel Alsirhani Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Jouf University, Sakaka 72388, Saudi Arabia. https://orcid.org/0009-0000-8405-1582
  • Soher Abdelaziz Department of Gerontological Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt. https://orcid.org/0000-0003-2505-063X
  • Asmaa Hassan Department of Community Health Nursing, Faculty of Nursing, Zarqa University, Zarqa, Jordan
  • Amira Afify Department of Physical Therapy for Internal, Cardio Pulmonary and Geriatric Medicine, Faculty of Physical Therapy, Al-Ryada University for Science and Technology, Egypt.

DOI:

https://doi.org/10.47197/retos.v68.116122

Keywords:

Type 2 Diabetes Mellitus, nursing intervention, physiotherapy, exercise therapy, patient education, meta-analysis, glycemic

Abstract

Introduction: Effective management of type 2 diabetes mellitus (T2DM) requires a multidisciplinary approach. This study aims to quantify the combined effect of nursing and physiotherapy interventions on outcomes in adults with T2DM.

Objective: To evaluate the impact of nursing and physiotherapy interventions on key outcomes in T2DM patients.

Methodology: A systematic review and meta-analysis was conducted following PRISMA guidelines (search conducted until July 2024) across PubMed, Scopus, Web of Science, Cochrane, and Google Scholar. Randomized controlled trials and controlled clinical trials involving adults with T2DM, focusing on nursing (patient education and/or self-care support) and/or physiotherapy (exercise training and/or physical therapy) interventions, were included. Eighteen studies (N=1,243) were analyzed using random effects models for mean difference pooling.

Results: Key outcomes included HbA1c, BMI, physical function, and quality of life (QoL). The combined nursing and physiotherapy intervention significantly improved glycemic control (HbA1c 7.0% vs. 7.5%, weighted mean difference –0.52%, 95% CI –0.68 to –0.36, p<0.001), reduced BMI (MD –1.2 kg/m², 95% CI –1.7 to –0.7, p<0.001), improved exercise capacity (+45m in 6-minute walk, 95% CI 30–60), and QoL (+5.1 SF36 physical points, 95% CI 3.0–7.2).

Conclusion: Combined nursing and physiotherapy interventions significantly improved self-care behaviors, metabolic control, and functional outcomes in T2DM patients. These findings support the recommendation for collaborative nursing-physiotherapy programs in diabetes care.

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Published

2025-05-20

How to Cite

shokr, E., El-Marakby, R., AL-Olimat, K., Alqadi, R., Alsirhani, H., Abdelaziz, S., … Afify, A. (2025). Unveiling novel insights into Type 2 Diabetes management: a meta-analysis and statistical synthesis of nursing and physiotherapy intervention literature. Retos, 68, 585–595. https://doi.org/10.47197/retos.v68.116122

Issue

Vol. 68 (2025)

Section

Original Research Article

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Copyright (c) 2025 Eman shokr, Rasha El-Marakby, Kamlah AL-Olimat, Rasha Alqadi, Hadeel Alsirhani, Soher Abdelaziz, Asmaa Hassan, Amira Afify

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