Clinical follow-up study on diabetes patients participating in a health management plan.
The "Health Management Plan"(HMP) for caring diabetic patient was begun by the National Health Insurance (NHI) in Taiwan in order to maximize the effectiveness of limited medical resources. This study describes the clinical experience of the nurse-directed diabetic HMP program and analyzes factors associated with the outcome. One hundred and thirty-six patients, all of whom had participated in the diabetic HMP program at least 5 times, were enrolled in the study. The effect of the HMP was evaluated by comparing hemoglobin A1C status before and after %) maintained their hemoglobin A1C status over the course of HMP participation. Diabetic patients with regular exercise habits showed a 2.8-fold increased chance of outcome improvement compared with those who did not exercise regularly. The chance of outcome improvement in patients with complications was found to be one-third that of patients who had no complications (Odds ratio: 0.3, 95% CI: 0.1-1.0). This study found that specially trained nurses, following agreed upon protocols and algorithms and collaborating with medical team members, can effectively concentrate on providing comprehensive and effective diabetes care.
Tang
Pei-Ling
PL
Institute of Medical Research, Chang-Jung Christian University.
Yuan
Wan-Ling
WL
Tseng
Hung-Fu
HF
D000328:Adult; D000465:Algorithms; D016009:Chi-Square Distribution; D003920:Diabetes Mellitus / Q000378:metabolism / Q000517:prevention & control*; D003927:Diet, Diabetic; D019468:Disease Management; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D012648:Self Care / Q000379:methods; D013624:Taiwan
D006442:Glycated Hemoglobin