title: Effects of visiting nurses' individually tailored education for low-income adult diabetic patients in Korea.
abstract: OBJECTIVE
  To describe the effects of individually tailored education by visiting nurses for low-income adult diabetic patients.
  
  
  METHODS
  This one-group pretest-posttest study included 96 newly registered low-income adult diabetic patients in a public health center in DJ-gu (similar to a county in the United States) in 2006; the patients met the selection criteria.
  
  
  METHODS
  Diabetes knowledge, self-management, and blood glucose levels were compared before and after education.
  
  
  METHODS
  15 visiting nurses delivered individually tailored education for 60-90 min/month for 7 months.
  
  
  RESULTS
  After education, diabetes knowledge (p<.001) and self-management in all categories of lifestyle (p<.001), diet (p<.001), exercise (p<.001), foot care (p<.001), medication (p=.004), and insulin therapy (p=.022) significantly improved. The mean fasting blood glucose (FBG) level decreased by 14.53 mg/dl; this decrease was insignificant (p=.117). However, the relationship between education and FBG levels was significant (χ(2)=40.11, p=.005).
  
  
  CONCLUSIONS
  Tailored education effectively improved the patients' knowledge of diabetes and self-management. Therefore, regular, individually tailored education on a long-term basis by visiting nurses can provide essential education to low-income adult diabetic patients for maintaining self-management.
authors.affiliation: College of Nursing, Nursing Policy Research Institute, Yonsei University, Seoul, Korea.
authors.forename: Il Sun
authors.initials: IS
authors.lastname: Ko
authors.forename: Tae Hwa
authors.initials: TH
authors.lastname: Lee
authors.forename: Gwang Suk
authors.initials: GS
authors.lastname: Kim
authors.forename: Se Won
authors.initials: SW
authors.lastname: Kang
authors.forename: Mi Ja
authors.initials: MJ
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose; D003152:Community Health Nursing; D003920:Diabetes Mellitus / Q000451:nursing*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D018802:Patient-Centered Care; D011203:Poverty; D056910:Republic of Korea; D012648:Self Care
chemical_list: D001786:Blood Glucose