Back to Search
Start Over
Promoting health in type 2 diabetes: nurse-physician collaboration in primary care
- Source :
- Biological research for nursing. 6(3)
- Publication Year :
- 2004
-
Abstract
- The purpose of this study is to examine effects of a nurse-physician collaborative approach to care of patients with type 2 diabetes and to determine possible effect sizes for use in computing sample sizes for a larger study. Forty patients from a family practice clinic with type 2 diabetes were randomly assigned to control or experimental groups. The control group received standard care, whereas the experimental group received standard care plus home visits from a nurse, as well as consultation with an exercise specialist and/or nutritionist. Follow-up continued for 3 months. Clinical end points included standard measures of diabetes activity as well as quality-of-life indicators. Focus group interviews were used to explore patients’ responses to the program. Although findings were not statistically significant, a trend toward small to moderate positive effect sizes was found in glycosylated hemoglobin and blood pressure. Quality oflife measures also showed a trend toward small to moderate, but nonsignificant, improvements in physical functioning, bodily pain, vitality, social and global functioning, energy, impact of diabetes, and health distress. Focus group interviews indicated a very positive response from patients, who expressed feelings of empowerment. In this study, patients treated with nurse-physician collaboration demonstrated small, but nonsignificant, improvements in blood chemistry after only 3 months. Physical and social functioning, energy, and bodily pain also showed a small improvement. Changes in awareness of effects of diabetes on health and an expressed sense of self-efficacy suggest that effects could be sustainable over the longer term.
- Subjects :
- 0301 basic medicine
Male
medicine.medical_specialty
Dietetics
Type 2 diabetes
Health Promotion
law.invention
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
Nursing
Randomized controlled trial
law
Diabetes mellitus
Patient-Centered Care
medicine
Humans
030212 general & internal medicine
Exercise
Aged
Patient Care Team
030109 nutrition & dietetics
Research and Theory
Primary Health Care
business.industry
Nursing research
Physician-Nurse Relations
Middle Aged
medicine.disease
Focus group
Distress
Blood chemistry
Diabetes Mellitus, Type 2
Family medicine
Quality of Life
Female
business
Subjects
Details
- ISSN :
- 10998004
- Volume :
- 6
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Biological research for nursing
- Accession number :
- edsair.doi.dedup.....f90c14bab7461ec395ae27d71e4d2d12