title: The options of the management of self-monitoring of blood glucose in primary health care centres by the diabetes nurses and patients.
abstract: The aims of the present study were to investigate the diabetes nurse specialists (DNS) practice according to the local diabetic guideline, to study the DNSs' opinion of self-monitoring of blood glucose (SMBG) and prescription of test-strips, to investigate the patients' opinions and habits when using SMBG. Users of SMBG (n=533 patients') and all DNSs (n=25) were telephone interviewed. Only a few DNSs used local guidelines, the majority had their own prescribing strategy of SMBG. In conclusion, DNSs were aware of the guidelines but did not use them to support their decision regarding the reasons for prescribing SMBG or not. For diabetes patients, reassurance was the most important issue in having access to SMBG, despite the fact that one-third retested but did not change their behaviour and nearly 15% contacted their DNS for advice.
authors: R&D Department of Local Health Care, County Council of Östergötland, Sweden. anna-karin.schold@lio.se
authors: Anna-Karin
authors: AK
authors: Schöld
authors: Rita
authors: R
authors: Ylikivelä
authors: Kjell
authors: K
authors: Lindström
authors: Carl Johan
authors: CJ
authors: Östgren
authors: Ewa
authors: E
authors: Grodzinsky
mesh_terms: D000554:Ambulatory Care Facilities; D001291:Attitude of Health Personnel; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000032:analysis*; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation / Q000451:nursing*; D016009:Chi-Square Distribution; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D019983:Guideline Adherence; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009720:Nurse Clinicians / Q000523:psychology; D009723:Nurse-Patient Relations; D010361:Patients / Q000523:psychology; D017410:Practice Guidelines as Topic; D057184:Practice Patterns, Nurses'; D011237:Predictive Value of Tests; D011320:Primary Health Care; D011934:Reagent Strips; D013548:Sweden
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D011934:Reagent Strips