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Related Experiment Videos

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
PubMed
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.

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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.

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  • 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.