The Efficacy of a Home-Based Nursing Program in Diabetic Control of Elderly People with Diabetes Mellitus Living Alone

Authors


  • Chun-Lien Huang is Head Nurse, Nursing Department, Tri-Service General Hospital, Taipei, Taiwan. Shiao-Chi Wu is Associate Professor, Institute of Health and Social Welfare Policy, National Yang-Ming University, Taipei, Taiwan. Chii-Yuan Jeng is Associate Professor, Graduate School of Medical Science, Division of Endocrinology and Metabolism, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Li-Chan Lin is Professor, Institute of Clinical Nursing, National Yang-Ming University, Taipei, Taiwan.

* Li-Chan Lin, Institute of Clinical Nursing, National Yang-Ming University, 155 Li-Nong Street, Sec 2, Taipei, Taiwan. E-mail: lichan@ym.edu.tw

Abstract

Abstract  The purpose of this study was to evaluate the efficacy of a home-based nursing program in the diabetic control of elderly people with diabetes mellitus living alone. Patients meeting the sampling criteria were recruited from a medical center and 10 health centers in Taipei for this quasi-experimental study. By matching the effects of age, sex, education, and history of diabetes, subjects were assigned semirandomly to two groups based on the intensity of home-based nursing care visitations. Group I was defined as daily visits to supervise diet, exercise, medication, and self-monitoring blood sugar (n = 15) and Group II as weekly visits to supervise diet, exercise, medication education, and self-monitoring blood sugar (n = 15). Patients who agreed only to receive blood examination were assigned to the control group (n = 14). The results of the study showed that reductions in fasting blood sugar, postmeal blood sugar, and hemoglobin A1c (HbA1c) in Groups I and II were significantly greater than those in the control group. The reduction in the total cholesterol and low-density lipoprotein in Groups I and II was significantly greater than that in the control group. There were no significant differences among the three groups in the improvement of high-density lipoprotein (HDL) and triglycerides (TGs). Group I revealed a significantly greater weight reduction compared to Group II. There was no significant difference between Groups I and II in the improvements of diabetes knowledge, depression level, or quality of life. From the research findings, based on cost-effectiveness, it is recommend that Program II be implemented.

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