Research Article
Have access already?
Get access to this article:
Or get access to the particular issue:
- Perpetual access Add to cart ($49.95)
Or get access to the entire journal:
Advertisement
Abstract
Background and Purpose
Diabetes control measures were shown to improve, following multidisciplinary intervention managed by a nurse in short-term follow-ups. However, there is a lack of data regarding the long-term effects of such interventions. We assessed long-term diabetes management and control measures in a central multidisciplinary primary care clinic, following a brief intervention conducted by a community nurse.
Methods
A cross-sectional study in a central, multidisciplinary, primary care clinic. A previous study cohort of randomly selected 100 people with diabetes was followed-up for over 10 years, following a brief intervention managed by a community nurse. Data of diabetes control measures (e.g., hemoglobin A1c [HbA1c], low-density lipoprotein [LDL], and blood pressure) and clinical use of medical services (e.g., nurse, physician, dietician, and hospitalizations) were extracted from the medical records and compared from before the intervention to short and long-term follow-ups (median of 25 months, 10.56 years respectively).
Results
During the follow-up period, 18 participants (median age at intervention time 73 years) died. HbA1c dropped significantly (p < .001) from before to after the intervention, and remained low. LDL and Systolic Blood pressure decreased and continued to decrease during the long-term follow-up. While the number of nurse visits per year increased, physician and dietician visits decreased. Annual foot examinations and ophthalmologist visits, which increased following the intervention, remained high. Diabetes-related hospitalizations also decreased from the point of intervention.
Implications for Practice
Multidisciplinary, brief intervention managed by a community nurse, improve, and even continue to improve, most diabetes management and control measures, for more than 10 years following the intervention.
Article usage
| Period | Abstract | Full | Total | |
|---|---|---|---|---|
| Apr 2024 | 48 | 0 | 0 | 48 |
| Mar 2024 | 14 | 0 | 1 | 15 |
| Feb 2024 | 7 | 0 | 1 | 8 |
| Jan 2024 | 52 | 0 | 0 | 52 |
| Dec 2023 | 7 | 0 | 0 | 7 |
| Nov 2023 | 24 | 0 | 0 | 24 |
| Oct 2023 | 11 | 2 | 1 | 14 |
| Sep 2023 | 39 | 0 | 1 | 40 |
| Aug 2023 | 22 | 0 | 0 | 22 |
| Jul 2023 | 23 | 0 | 0 | 23 |
| Jun 2023 | 23 | 0 | 0 | 23 |
| May 2023 | 16 | 0 | 0 | 16 |
| Apr 2023 | 9 | 0 | 0 | 9 |
| Mar 2023 | 25 | 2 | 1 | 28 |
| Feb 2023 | 32 | 2 | 3 | 37 |
| Jan 2023 | 46 | 2 | 1 | 49 |
| Dec 2022 | 21 | 0 | 1 | 22 |
| Nov 2022 | 82 | 0 | 0 | 82 |
| Oct 2022 | 55 | 2 | 1 | 58 |
| Sep 2022 | 37 | 1 | 1 | 39 |
| Aug 2022 | 21 | 1 | 1 | 23 |
| Jul 2022 | 38 | 0 | 0 | 38 |
| Jun 2022 | 41 | 0 | 0 | 41 |
| May 2022 | 44 | 1 | 1 | 46 |
| Apr 2022 | 58 | 2 | 2 | 62 |
| Mar 2022 | 76 | 1 | 1 | 78 |
| Feb 2022 | 492 | 1 | 2 | 495 |
| Jan 2022 | 804 | 0 | 2 | 806 |
| Dec 2021 | 694 | 0 | 0 | 694 |
| Nov 2021 | 1047 | 0 | 3 | 1050 |
| Oct 2021 | 1383 | 0 | 0 | 1383 |
| Sep 2021 | 863 | 0 | 0 | 863 |
Cited by