The major goal of diabetes control is to assist patients to perform self-care and metabolic control. One possible way to achieve this goal is education and regular monitoring of patients by telephone. Thus, the present study was conducted with the aim of investigating the impact of education and telephone follow-up on self-care and metabolic control in diabetic patients. This experimental study was conducted at a hospital in the Central Anatolia region of Turkey, with 88 diabetic patients including 44 intervention subjects and 44 control subjects. After an initial discussion, patients in the intervention group received education and telephone follow-up for 3 months. Required approvals were obtained before initiation of the study. Data were collected using a questionnaire form and the Diabetes Self-Care Scale. The Diabetes Self-Care Scale scores ranged between 140 and 210, where higher scores indicated increased self-care activities of patients. At the end of the study, the self-care score was found to increase from 61.3 ± 10.9 to 89.9 ± 12.3 in the intervention group (P < .005), but it showed a reduction from 56.5 ± 7.6 to 54.7 ± 9.3 after 3-month period in the control group. Education and telephone follow-up was also found to reduce the values of several variables of metabolic control including hemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein cholesterol, and systolic blood pressure. In conclusion, education and telephone follow-up of diabetic patients led to increased self-care scores and had a positive impact on metabolic control variables. In light of these findings, we suggest that education and tele-health home monitoring may be provided on a continuous basis to help patients sustain self-care behaviors that they have adopted during the study period.
Bu sistematik derleme ile yoğun bakım hastalarında müzik uygulamasının hastalar üzerindeki fizyolojik ve psikolojik etkilerinin belirlenmesi amaçlanmıştır.
The health care needs of older adults may differ due to agerelated physiological changes, diseases that increase with aging, lifestyle, and individual characteristics. Multidimensional geriatric assessment is a comprehensive and interdisciplinary process that defines the medical, social, psychological, and functional needs of the elderly individual. There is evidence that multidimensional geriatric assessment reduces hospitalizations and mortality rates, improves physical functions, reduces dependency in activities of daily living, and maintains functional independence. A multidisciplinary team is a collaborative approach that requires the harmony and coordination of various professional knowledge and skills and requires collaborative work for the continuity of treatment and care of the older adult. As an active member of the team, the geriatric nurse has roles on multidimensional assessment of the older adults, the continuation of planned treatments, planning, implementation, and evaluation of individualized patient care, finding solutions to the health problems and needs of the elderly patient with a multidisciplinary approach, and maintaining communication with team members. In this article, the multidisciplinary team approach in multidimensional geriatric assessment and the role of the nurse are discussed.
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