title: [Treatment quality in geriatric patients with diabetes mellitus in various home environments].
abstract: OBJECTIVE
  The goal of the present study was to systematically assess treatment quality, perceptions, and cognitive function of elderly patients with diabetes admitted to an acute geriatric hospital from different home environments (nursing home residents, home care, assisted living, family caregivers, self-sufficient).
  
  
  METHODS
  Quality of diabetes treatment, metabolic control (HbA(1c)), nutrition, treatment satisfaction, cognition, disability, and level of dependency were assessed in 128 patients with diabetes.
  
  
  RESULTS
  Out of 128 patients, 87 patients (68%) showed an HbA1c≤8% according to the guidelines for aging people with diabetes of the German Diabetes Association (DDG). Compared to patients living independently at home, the metabolic control in nursing home residents and their treatment satisfaction were as good. They had a higher degree of dependency though (Barthel, p<0.001), more strongly impaired mobility (Tinetti, p<0.01), less diabetes knowledge (p<0.001), inferior cognitive performance (MMSE, SPMSQ, p<0.01), and a higher prevalence of depression (GDS) (p<0.01). Better cognitive function correlated with better diabetes knowledge (r=0.49; p<0.001), but not with better metabolic control.
  
  
  CONCLUSIONS
  The treatment of geriatric patients with diabetes mellitus requires individual considerations and interdisciplinary care. Particularly the continuing education of geriatric nurses could contribute to improved diabetes treatment quality in nursing home residents.
authors.affiliation: Bethanien-Krankenhaus, Geriatrisches Zentrum an der Ruprecht-Karls-Universität Heidelberg, Rohrbacher Str. 149, 69126, Heidelberg, Germany. abahrmann@bethanien-heidelberg.de
authors.forename: A
authors.initials: A
authors.lastname: Bahrmann
authors.forename: Al
authors.initials: A
authors.lastname: Abel
authors.forename: N
authors.initials: N
authors.lastname: Specht-Leible
authors.forename: Am
authors.initials: A
authors.lastname: Abel
authors.forename: E
authors.initials: E
authors.lastname: Wörz
authors.forename: E
authors.initials: E
authors.lastname: Hölscher
authors.forename: T
authors.initials: T
authors.lastname: Zieschang
authors.forename: P
authors.initials: P
authors.lastname: Oster
authors.forename: A
authors.initials: A
authors.lastname: Zeyfang
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D000369:Aged, 80 and over; D040561:Assisted Living Facilities / Q000592:standards; D017028:Caregivers; D015897:Comorbidity; D003858:Dependency, Psychological; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy*; D004185:Disability Evaluation; D005858:Germany; D006442:Glycated Hemoglobin / Q000378:metabolism; D006699:Home Care Services / Q000592:standards; D006707:Homes for the Aged / Q000592:standards; D006801:Humans; D057187:Independent Living; D008134:Long-Term Care / Q000592:standards*; D008297:Male; D051346:Mobility Limitation; D009735:Nursing Homes / Q000592:standards; D009752:Nutritional Status; D010343:Patient Admission; D017060:Patient Satisfaction; D011785:Quality Assurance, Health Care / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards*; D012648:Self Care / Q000592:standards
chemical_list: D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human
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