{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:36:12Z","timestamp":1790195772995,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T00:00:00Z","timestamp":1574208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011789","name":"Department of Science and Technology of Jilin Province","doi-asserted-by":"publisher","award":["20190303170SF"],"award-info":[{"award-number":["20190303170SF"]}],"id":[{"id":"10.13039\/501100011789","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To summarise the current evidence on comorbid type 2 diabetes mellitus (T2DM) related to 30\u2010day readmission and hospital length of stay (LOS) among patients with acute coronary syndrome (ACS) and evidence on the effectiveness of self\u2010management programmes for patients with both conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Acute coronary syndrome and T2DM remain two major diseases leading to serious consequences. Thirty\u2010day readmission and LOS were considered indicators of the quality of care, with the understanding that the potential significant effects of these outcomes could be varied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This scoping review followed the methodology described by Arksey and O'Malley.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five databases including PubMed, Embase, Cochrane Library, Web of Science and CINAHL were searched, and a total of 20 articles involving 913,807 patients were included. Results were reported in accordance with PRISMA\u2010ScR guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results indicated that patients with both ACS and T2DM have prolonged LOS and increased 30\u2010day readmission rates. The findings supported that improvements in patient self\u2010management behaviour for optimal health outcomes were partially successful by effective self\u2010management programmes; however, few articles on intervention programmes specifically designed for patients with two conditions were found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prolonged LOS and increased 30\u2010day readmission rates are found among patients with ACS and T2DM. Based on few pilot studies building on each other, the effectiveness of self\u2010management programmes in promoting self\u2010care behaviour, self\u2010efficacy and knowledge for patients with ACS and T2DM cannot be concluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Findings from this review provide valuable information on and a better understanding of readmissions and LOS among patients with ACS and T2DM for healthcare providers. Future developments and implementations of effective self\u2010management programmes should target patients with dual diagnoses to improve health behaviour and reduce readmission and LOS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15087","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T00:45:46Z","timestamp":1573173946000},"page":"320-329","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Thirty\u2010day readmission, length of stay and self\u2010management behaviour among patients with acute coronary syndrome and type 2 diabetes mellitus: A scoping review"],"prefix":"10.1111","volume":"29","author":[{"given":"Liya","family":"Tang","sequence":"first","affiliation":[{"name":"School of Nursing Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0976-2186","authenticated-orcid":false,"given":"Kun","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6512-9049","authenticated-orcid":false,"given":"Chiung\u2010Jung (Jo)","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Paramedicine University of the Sunshine Coast (USC) Sippy Downs QLD Australia"},{"name":"Royal Brisbane and Women's Hospital (RBWH) Brisbane QLD Australia"},{"name":"Mater Medical Research Institute\u2010University of Queensland (MMRI\u2010UQ) Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,20]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","first-page":"57","article-title":"Frequency of diabetes mellitus in patients with acute coronary syndrome","volume":"26","author":"Ahmed N.","year":"2014","journal-title":"Journal of Ayub Medical College Abbottabad Jamc"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2013-001901"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.09.016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.11.022"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.02.001"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12169"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-423"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1056-8727(02)00219-2"},{"key":"e_1_2_12_11_1","volume-title":"Readmissions reduction program","author":"Centers for Medicare & Medicaid Services","year":"2014"},{"issue":"1","key":"e_1_2_12_12_1","article-title":"China cardiovascular diseases report 2017: A summary","volume":"33","author":"Chen W. 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