MINI REVIEW article
Front. Med.
Sec. Family Medicine and Primary Care
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1626447
Self-management and Role of Nurses of Diabetic Patients: A Critical Narrative Literature Review during COVID-19 Pandemic
Provisionally accepted
- 1Ningbo Sixth Hospital, Ningbo, China
- 2The Department of Medicine, Northwest Minzu University, Lanzhou, China
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Background: During COVID-19 and the postepidemic phase, the concept of a frontline emergency response team was gradually expanded [( https://clinicaltrials.gov/, identifier (ChiCTR2500103976)]. The professional scope of nurses gradually expanded towards the digital. Methods: It conducted a comprehensive literature search and analysed relevant texts. This article reviews the daily health management of diabetic patients in the context of the COVID-19 pandemic and the role that nurses should play in this process. We used Pubmed to search for literature related to the role of nurses and self-management of health during COVID-19, which were subsequently used as seed literature for a complementary snowball method search. A design-stratified synthesis of directional evidence with harvest/effect-direction plots was used, with no effect value combinations or meta-analyses. Heterogeneity was narrated as contextual versus intervention composition stratification. Results: Ten publications were retrieved from the PubMed database with a cumulative total of 5834 adults. This indicates that utilizing these 10 “seed literature” to retrieve secondary literature enhances the persuasiveness of the approach. An additional 28 additional literature were retrieved using the snowball method using these seed literature. Diabetic patients face challenges in self-management during the pandemic, including disruptions in healthcare access, increased mental problems, and unhealthy lifestyles. Nurses serve as the front-line interface between these patients and the healthcare system. Adopting telehealth and remote consultation has effectively bridged the gap created by social distancing measures. Conclusion: Nurse-led digital care with a clear mix of “modules and intensity” may have directional benefits for diabetes self-management and metabolic outcomes.
Keywords: COVID-19, diabetes, Health management, Nurses, Nursing education
Received: 10 May 2025; Accepted: 11 Aug 2025.
Copyright: © 2025 Zhuang and Bo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Zhixiong Zhuang, Ningbo Sixth Hospital, Ningbo, China
Yan Bo, The Department of Medicine, Northwest Minzu University, Lanzhou, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.