An evaluation of a nurse case-managed program for children with diabetes.
This study evaluates an integrated model of care for children with diabetes that was developed at a health maintenance organization (HMO). This model program of 56 subjects included a nurse case manager, a multidisciplinary clinic team, and educational and counseling interventions to empower families to improve self-management of the children's diabetes. The purpose of the program was to improve diabetes self-management as measured by pre- and post-intervention glycosylated hemoglobin values, quality of life, and self-efficacy ratings. There were improvements in means of all measures of self-management and a statistically significant improvement in self-efficacy beliefs of the parents. The higher quality of life and self-efficacy ratings are related to adherence to a complex diabetic regimen that is critical to effective self-management. This model provides comprehensive, effective care to a service-intensive population.
Caravalho
J Y
JY
Kaiser-Permanente Medical Group, San Jose, CA, USA.
Saylor
C R
CR
D000293:Adolescent; D019090:Case Management; D002648:Child; D002675:Child, Preschool; D019033:Delivery of Health Care, Integrated; D003922:Diabetes Mellitus, Type 1 / Q000451:nursing* / Q000523:psychology; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D007223:Infant; D008297:Male; D024802:Nurse's Role; D010348:Patient Care Team; D012648:Self Care / Q000523:psychology; D020377:Self Efficacy