AN OUTPATIENT MODEL OF INTEGRATED DIABETES TREATMENT AND EDUCATION - FUNCTIONAL, METABOLIC, AND KNOWLEDGE OUTCOMES

被引:21
作者
ABOURIZK, NN
OCONNOR, PJ
CRABTREE, BF
SCHNAWTZ, JD
机构
[1] Diabetes Care Center, Department of Medicine and Department of Family Medicine, Saint Francis Hospital and Medical Center, Hartford, Connecticut
[2] University of Connecticut School of Medicine, Farmington, Connecticut
关键词
D O I
10.1177/014572179402000509
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A cohort of 137 insulin-treated adults with diabetes was evaluated at enrollment in a diabetes education and care program; 69 completed follow-up evaluations (mean = 11.2 months) to ascertain clinical outcomes. Factors that predicted change in metabolic, functional, and knowledge status were identified. The metabolic status of this cohort also was compared with a similar group of patients from a health maintenance organization (HMO) in a neighboring state. The mean HbA1c decreased from 9.97% at enrollment to 7.53% at follow-up. Functional status scores did not improve from baseline to follow-up. The relationship between knowledge and metabolic control differed for subjects with diabetes of long duration and short duration. A predictor of improved HbA1c was baseline HbA1c. A predictor of improved symptom score included white race or Hispanic origin. Patients who attended this program had better metabolic outcomes than the comparison group of patients.
引用
收藏
页码:416 / 421
页数:6
相关论文
共 14 条
[1]  
Laugharne E., Steiner G., Tri-Hospital Diabetes Education Centre: a cost effective cooperative venture, Can Nurse, 73, pp. 14-19, (1977)
[2]  
Bloomgarden Z.T., Karmally W., Metzger M.J., Randomized, controlled trial of diabetic patient education: improved knowledge without improved metabolic status, Diabetes Care, 10, pp. 263-272, (1987)
[3]  
Kaplan R.M., Davis W.K., Evaluating the costs and benefits of outpatient diabetes education and nutrition counseling, Diabetes Care, 9, pp. 81-86, (1986)
[4]  
Rubin R.R., Peyrot M., Saudek C.D., Effect of diabetes education on self-care, metabolic control, and emotional well-being, Diabetes Care, 12, pp. 673-679, (1989)
[5]  
Brackenridge B.P., Education is more than information, Diabetes Care, 11, (1988)
[6]  
Abourizk N.N., O'Connor P.J., Individualized diabetes education as a therapeutic tool is not elucidated, Diabetes Care, 11, pp. 215-216, (1988)
[7]  
Conference summary: Financing the Care of Diabetes Mellitus in the 1990s, Diabetes Care, 13, pp. 1021-1023, (1990)
[8]  
Abourizk N.N., Reardon G.E., Schnatz J.D., Establishing and operating a third-party reimbursed outpatient diabetes care center, Diabetes Educ, 14, 1, pp. 25-29, (1988)
[9]  
O'Connor P.J., Crabtree B.F., Abourizk N.N., Longitudinal study of a diabetes education and care intervention: predictors of improved glycemic control, J Am Board Fam Pract, 5, pp. 381-387, (1992)
[10]  
Marquis K.H., Ware J.E., Measures of diabetic patient knowledge, and behavior regarding self-care. Summary report., (1975)