Research Article
Volume 3 Issue 4 - 2021
Analysis of the Effect of Continuous Nursing Practice on Case Management of Intensive-Stage Diabetes Patients
Yiyi Deng1, Qingling Chen1, Xueyan Liu1*, Peiru Zhou1, Jiewei Huang1, Yan Liu1, Meili Tang1 and      Fengjiao Li2
1Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China
2Departemt of nursing, Hulunbuir Institute of Vocational Technology, Hulunbuir, China
*Corresponding Author: Xueyan Liu, Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Received: February 22, 2021; Published: March 25, 2021




Abstract

Objective: To identify the effects and related factors of extended nursing management for (1) newly diagnosed diabetes patients, (2) patients admitted with acute complications from diabetes mellitus, and (3) patients with glycated hemoglobin (HbA1c) levels of ≥9.0%, to suggest adjustments to the case continuation care plan.

Methods: This study adopted a cohort design. Convenience sampling was used to select diabetes patients hospitalized between October 2017 and March 2019 for the control group, and between April 2019 and September 2019 for the study group. Patients in the control group received routine nursing management, these in the study group were visited by a case manager within 48 hours of admission, the diabetes case management record data sheet was established, and a care plan was constructed according to the evaluation results. One telephone call or WeChat voice conversation (which can be carried out any time and any place) follow-up occurred 1, 4, and 12 weeks after discharge from the hospital (the number of follow-up visits was increased according to the needs of individuals), which included home self-care, diet, blood sugar control index, and outpatient review.

Results: The HbA1c level was significantly lower in the study group than in the control group (7.18±1.65% vs 8.46±2.02%, mean ± Standard deviation; p< 0.05), as was the cholesterol level (4.57±0.85mmol/L vs 5.24±1.95mmol/L, p< 0.05). The hypoglycemia incidence rates were 10.9% and 23.5% in the study and control groups, respectively, while the rates of HbA1c compliance were47.8% and 40.9%. There were no significant differences between the two groups in the total scores for triglycerides, low-density lipoprotein, uric acid, and pain.

Conclusion: Intensive case management can improve the blood glucose levels of diabetes patients, but is not ideal in reducing their pain and or the rate of reaching standard blood glucose levels. After the intensive phase, it is recommended that a case manager continues to manage patients in the life-long maintenance phase, with appropriate alterations to the intensity and frequency of interventions. The Internet should be used for flexible communications with patients, combining empowerment and education to help patients in a timely manner, increasing attention to reducing their distress, and improving blood glucose check-up compliance rates.

Keywords: Diabetes; Intensive-Stage; Case Management; Continuous Nursing Practice

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Citation: Xueyan Liu., et al. “Analysis of the Effect of Continuous Nursing Practice on Case Management of Intensive-Stage Diabetes Patients”. EC Nursing and Healthcare 3.4 (2021): 79-85.

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