Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes.
- Author:
Soon Young KIM
1
;
Bok Hee CHO
;
Hae Sung NAM
Author Information
1. Department of Nursing, Chonnam Techno College, Korea.
- Publication Type:Original Article
- Keywords:
Case management;
Diabetes mellitus;
Self-efficacy;
Self-care behaviors
- MeSH:
Blood Glucose;
Case Management;
Diabetes Mellitus;
Exercise;
Fasting;
Foot;
House Calls;
Humans;
National Health Programs;
Rural Population;
Self Care;
Telephone
- From:Journal of Agricultural Medicine & Community Health
2008;33(2):232-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. METHODS: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. RESULTS: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. CONCLUSIONS: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.
