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Diabetes nurse case management: an effective tool
Barbara Ann Mullen1, Patricia Ann Watts Kelley
1Naval Ambulatory Care Center, Groton, CT, USA.
Journal of the American Academy of Nurse Practitioners
|January 13, 2006
Summary
This study shows that a diabetes nurse case management program significantly reduced patients' A1c and cholesterol levels. These improvements were sustained for six months after program discharge, supporting the program's long-term value.
Area of Science:
- Endocrinology and Metabolism
- Nursing and Health Services Research
Background:
- Diabetes mellitus (type 1 and type 2) management requires ongoing self-care.
- Nurse case management programs aim to coordinate care for patients with complex chronic conditions.
- Limited research exists on the long-term self-management success of patients post-discharge from diabetes programs.
Purpose of the Study:
- To evaluate the effectiveness of a diabetes nurse case management program.
- To assess patient outcomes, including glycosylated hemoglobin A1c (A1c), total cholesterol (TC), triglyceride, and low-density lipoprotein (LDL) levels.
- To determine if these outcomes were maintained 6 months after program discharge.
Main Methods:
- Retrospective review of laboratory data from patients enrolled in a diabetes nurse case management program.
- Inclusion criteria: diabetes mellitus type 1 or 2 with hemoglobin A1c ≥ 8.0%.
- Statistical analysis included descriptive statistics and paired t-tests.
Main Results:
- Significant reductions in A1c and TC levels were observed from admission to discharge.
- These reductions in A1c and TC were maintained at the 6-month follow-up.
- A significant reduction in LDL levels was noted from admission to 6 months post-discharge.
Conclusions:
- The diabetes nurse case management program effectively improved glycemic and lipid control.
- Patients sustained improved health metrics 6 months after program completion, indicating successful self-management.
- This study underscores the value of nurse case management in diabetes care.
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