title: The Effect of Nurse Practitioner-Led Intervention in Diabetes Care for Patients Admitted to Cardiology Services.
abstract: OBJECTIVE
  To determine the benefits of diabetes nurse practitioner (DNP) intervention on glycemic control, quality of life and diabetes treatment satisfaction in patients with type 2 diabetes (T2DM) admitted to cardiology inpatient services at a tertiary centre.
  
  
  METHODS
  Patients admitted to the cardiology service with T2DM who had suboptimal control (HbA1c >6.5%) were approached for the study. Diabetes care was optimized by the DNP through medication review, patient education and discharge care planning. Glycemic control was evaluated with 3-month post-intervention HbA1c. Secondary outcomes of lipid profiles, quality of life and treatment satisfaction were evaluated at baseline and at 3 months with fasting lipids, Audit of Diabetes-Dependent Quality of Life questionnaires (ADDQoL) and Diabetes Treatment Satisfaction Questionnaires (DTSQ) respectively.
  
  
  RESULTS
  With almost 49% of patients admitted to the Mazankowski Alberta Heart Institute having HbA1c <6.5%, only 23 patients completed the study over a 12-month period. We found a significant decrease in HbA1c values at 3 months post-intervention from 8.0% (SD=1. 2) to 6.9% (SD=0.7), p=0.002. LDL showed a significant decrease at 3 months from 1.7 mmol/L (SD=0.7) to 1.1 mmol /L (SD=0.6), p=0.011. Overall median ADDQoL impact scores improved at follow up, from -1.4 to -0.4, p = 0.0003. Overall no significant changes in DTSQ scores were seen.
  
  
  CONCLUSIONS
  Short-term DNP intervention in T2DM patients admitted to the inpatient cardiology service was associated with benefits in areas of glycemic control and various domains of QoL. Our study provides support for the involvement of DNP in the care of cardiology inpatients at tertiary centres.
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada. Electronic address: Suqing@Ualberta.ca.
authors.forename: Suqing
authors.initials: S
authors.lastname: Li
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Roschkov
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Alkhodair
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Blair J
authors.initials: BJ
authors.lastname: O'Neill
authors.affiliation: Division of Endocrinology and Metabolism, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Constance L
authors.initials: CL
authors.lastname: Chik
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Epidemiology Coordinating and Research (EPICORE) Centre, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Ross T
authors.initials: RT
authors.lastname: Tsuyuki
authors.affiliation: Mazankowski Alberta Heart Institute, Division of Cardiology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
authors.forename: Gabor T
authors.initials: GT
authors.lastname: Gyenes
mesh_terms: D000368:Aged; D000416:Alberta / Q000453:epidemiology; D001786:Blood Glucose / Q000378:metabolism; D016507:Cardiology Service, Hospital / Q000639:trends; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D061345:Early Medical Intervention / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D010343:Patient Admission / Q000639:trends; D005791:Patient Care / Q000379:methods*; D011788:Quality of Life; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose
keywords: Cardiology; Nurse Practitioner; Type 2 Diabetes; cardiologie; diabète de type 2; infirmier praticien