Nursing strategies to improve treatment adherence in patients with type 2 diabetes
DOI:
https://doi.org/10.56294/cid2025156Keywords:
Critical care nursing, Type 2 diabetes mellitus, Treatment adherence, Compliance, PreventionAbstract
Introduction: type 2 diabetes mellitus (T2DM) is a highly prevalent chronic disease, projected to affect more than 700 million adults by 2045. Improving adherence to treatment remains a challenge in Latin America and Ecuador, due to communication and socioeconomic barriers. Patient-centred nursing strategies and digital health emerge as promising alternatives. Methods: a qualitative and descriptive systematic review was conducted under PRISMA 2020 and the PICO approach, including studies from 2020 to 2025 in recognised scientific databases, evaluated with CASP and JBI. Results: the data, summarised in tables, show that the nursing strategies identified to improve adherence to treatment in patients with type 2 diabetes were grouped into educational interventions, behavioural support, continuous monitoring and use of technological reminders. The quality of the studies was assessed through criteria such as the validity of the instruments and the relevance of the findings. Conclusión: personalised and tailored nursing strategies optimise glycaemic control and quality of life, and standardised protocols and evidence for clinical practice are recommended.
References
1. Georgieva N, Tenev V, Kamusheva M, Petrova G. Diabetes Mellitus—Digital Solutions to Improve Medication Adherence: Scoping Review. Diabetology Journal MDPI. 2023; IV(4).
2. Silva R, Cuatecontzi T, Bernal F, Saldaña V, Galindez A, Castillo L. Adherence to antidiabetic treatment in primary health care in individuals with type 2 diabetes. A survey including socio-demographic, patient related and clinical factors. Elsevier Journal. 2022; XVI(6).
3. Nyirongo S, Katowa P, Mwila E, Mwiinga V. Adherence to Treatment by Patients with Type 2 Diabetes Mellitus at Monze Mission Hospital, Monze, Zambia. Scientific Research Jorunal An Academic Publisher. 2021; XI(3).
4. Mora J. Adherencia al tratamiento en personas con diabetes mellitus tipo 2 en México: Estudio de meta-análisis. Revista Psicumex. 2022; XII(5).
5. Villalba J, Almirón J, Torales J. Comprendiendo la conducta del paciente con diabetes: Estrategias para mejorar la adherencia terapéutica. Revista Medicina, Clínica y Social. 2021; XIV(3).
6. Noboa C. El rol de la enfermería en la gestión de la adherencia al tratamiento farmacológico en pacientes con enfermedades crónicas. Revista Reincisol. 2025; IV(7).
7. Rodríguez A, Borrallo Á, Magni E, Guerra M. Effectiveness of Advanced Practice Nursing Interventions on Diabetic Patients: A Systematic Review. Healthcar Journal. 2025; XIII(7).
8. Shahabi N, Fakhri Y, Aghamolaei T, Hosseini , Homayuni A. Socio-personal factors affecting adherence to treatment in patients with type 2 diabetes: A systematic review and meta-analysis. Elsevier Journal. 2023; XVII(3).
9. Díaz M, Rodríguez A, Achiong F, Cardona D, Maldonado G, Londoño E. Adherencia terapéutica de pacientes con diabetes mellitus tipo 2 en cuatro áreas de salud del país. Revista Finlay. 2024; XIV(1).
10. Fitriani J, Agus I. Nursing Interventions to Improve Self-management in Patients with Type 2 Diabetes Mellitus: A Scoping Review. Africa Journal of Nursing and Midwifery. 2024; XXVI(1).
Published
Issue
Section
License
Copyright (c) 2025 Kimberly Anais Pineda Quitio, Yulisa Isabel Soria Yupangui, Emily Obdulia Analuisa Analuisa, Siomara Abigail Loja Lasluisa, Jeannette Mercedes Acosta Nuñez (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
