Integrating knowledge, psychological support and digital health interventions: nursing innovations in diabetes management

Chisla Unnati Pravinbhai; Pauline J. C.; Shoba Graciah A.; M. Sankerdev Singh; C. Anju Chanu; Prerna Lucas; Trilok Chand Sharma; Shilki Sharma; N. Prabha; Jaivin Jaisingh J.; Balamurugan; Mohammed Umar

doi:10.18203/2320-6012.ijrms20261001

Authors

Chisla Unnati Pravinbhai Department of Medical Surgical Nursing, P.P. Savani School of Nursing, P.P. Savani University, Surat, Gujarat, India
Pauline J. C. Department of Medical Surgical Nursing, SRIPMS, Dr. MGR Medical University, Coimbatore, Tamil Nadu, India
Shoba Graciah A. Department of Community Health Nursing, KG College of Nursing, The Tamil Nadu Dr. MGR Medical University, Coimbatore, Tamil Nadu, India
M. Sankerdev Singh Department of Mental Health Nursing, Mata Gujri College of Nursing, Mata Gujri University, Kishanganj, Bihar, India
C. Anju Chanu Department of Mental Health Nursing, Mata Gujri College of Nursing, Mata Gujri University, Kishanganj, Bihar, India
Prerna Lucas Department of Mental Health Nursing, Adeshwar Nursing Institute, Pandit Deen Dayal Upadhyay Memorial Health Science and Ayush University, Jagdalpur, Chhattisgarh, India
Trilok Chand Sharma Department of Psychiatry, King George’s Medical University (KGMU), Lucknow, Uttar Pradesh, India
Shilki Sharma Department of Mental Health Nursing, Saraswathi College of Nursing, Atal Bihari Vajpayee Medical University (ABVMU), Ghaziabad, Uttar Pradesh, India
N. Prabha Department of Medical Surgical Nursing, Karuna College of Nursing, Kerala University of Health Sciences, Palakkad, Kerala, India
Jaivin Jaisingh J. Department of Medical Surgical Nursing, T.S. Misra College of Nursing, T.S. Mishra University, Lucknow, Uttar Pradesh, India
Balamurugan Department of Nursing, Indira Gandhi Government General Hospital and Post Graduate Institute, Puducherry, India
Mohammed Umar Department of Nursing, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20261001

Keywords:

Diabetes mellitus, Nursing innovation, Diabetes self-management education, Psychological support, Digital health, Telemedicine, Chronic care model, Glycaemic control

Abstract

Diabetes mellitus remains one of the most significant global public health challenges, requiring comprehensive and sustained management strategies beyond pharmacological treatment. Increasing evidence highlights the importance of integrating structured patient education, psychological support, and digital health technologies within nursing practice to improve clinical and psychosocial outcomes. This narrative review synthesizes contemporary evidence on nursing innovations that combine knowledge enhancement, behavioral and emotional support, and technology-enabled care in diabetes management. Literature from PubMed, Scopus, CINAHL, and Web of Science published between 2013 and 2025 was reviewed. Findings indicate that structured diabetes self-management education improves glycaemic control, enhances self-efficacy, and promotes adherence to therapeutic regimens. Psychological interventions, including cognitive behavioral therapy and motivational interviewing delivered by nurses, significantly reduce diabetes distress and depressive symptoms while contributing to improved metabolic outcomes. Digital health strategies such as telemonitoring, mobile health applications, continuous glucose monitoring, and SMS-based support facilitate remote engagement and sustained self-management. Integrated multicomponent nurse-led models demonstrate superior reductions in HbA1c, improved quality of life, and decreased hospitalization rates compared to single-domain interventions. These findings support the adoption of comprehensive, technology-enabled, and psychologically informed nursing approaches to address the complex demands of chronic diabetes care.

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