Effect of the diabetes outpatient intensive management programme on glycaemic control for type 2 diabetic patients.
OBJECTIVE
The purpose of this study was to examine the effect of the diabetes outpatient intensive management programme (DOIMP) on glycaemic control over a 12 week follow-up period for type 2 diabetic patients in Korea.


BACKGROUND
Diabetic complications can be prevented if the glycaemic status of diabetes patients is maintained within a nearly normal range. Patient education is critical in controlling blood glucose levels of patients with diabetes within the optimal range.


METHODS
DOIMP was composed of multidisciplinary education, complication monitoring and telephone counselling. Twenty-five patients in the intervention group participated in the DOIMP and 24 patients in the control group were briefed on the conventional description of diabetes mellitus by diabetes education nurses.


RESULTS
Patients in the intervention group had a mean decrease of 2.3%, which those in the control group having a mean decrease 0.4% in glycosylated haemoglobin (HbA(1)c). There was no difference between the two groups in the change in fasting blood glucose (FBG) and two-hour postprandial blood glucose (2-h PBG). The proportion of the patients with HbA(1)c <7% was higher in the intervention group than in the control group at the post-test compare with the pretest.


CONCLUSIONS
DOIMP can reduce HbA(1)c in type 2 diabetes patients.


CONCLUSIONS
These findings indicated that DOIMP could be effective in glycaemic control in type 2 diabetes patients.
Song
Min-Sun
MS
Department of Nursing, Dongham Health College, Suwon, Korea.
Kim
Hee-Seung
HS
D000553:Ambulatory Care / Q000458:organization & administration*; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D003376:Counseling / Q000458:organization & administration*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000517:prevention & control*; D005215:Fasting; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis / Q000378:metabolism; D006801:Humans; D007723:Korea; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D015403:Nursing Evaluation Research; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration*; D019518:Postprandial Period; D015397:Program Evaluation; D012944:Social Support; D012959:Socioeconomic Factors; D013664:Teaching Materials; D013689:Telephone
D001786:Blood Glucose; D006442:Glycated Hemoglobin