- Title
- Nurse-led diabetes management in remote locations
- Creator
- Kirby, Sue; Moore, Malcolm; McCarron, Trish; Perkins, David; Lyle, David
- Relation
- Canadian Journal of Rural Medicine Vol. 20, Issue 2, p. 51-55
- Relation
- http://www.srpc.ca/resources_cjrm_archives.html
- Publisher
- Canadian Medical Association
- Resource Type
- journal article
- Date
- 2015
- Description
- Introduction: Nurse-led diabetes management has been shown to be effective in urban and regional general practice. We sought to test the feasibility of providing a nurse-led annual cycle of diabetes care in a remote location and to explore the factors that patients indicated were important in diabetes self-management. Methods: We conducted a pilot study in 3 locations: 1 town and 2 small townships in remote Australia. A chronic disease nurse (CDN) visited each patient over the course of a year. We examined patient clinical outcomes and interview data. We estimated the cost per hour of the CDN's time, including travel time, per 1% drop in glycated hemoglobin (HbA1C). Results: A total of 21 patients participated in the pilot study. Clinical findings showed significant reductions in HbA1C levels after the nurse-led intervention. Patients reported that they trusted the nurse and thought her advice was pitched at their level. Patients were motivated through a process that included emotional response, change identity and acceptance. The estimated cost in CDN hours per 1% drop in HbA1C level was A$242.95 (Can$237.60). Conclusion: Nurse-led diabetes care motivated patients to manage their diabetes and resulted in a significant improvement in diabetes management in this remote setting.
- Identifier
- http://hdl.handle.net/1959.13/1315847
- Identifier
- uon:23009
- Identifier
- ISSN:1488-237X
- Language
- eng
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