Current situation analysis of diabetic home care patients

Sertbaş, Meltem; Güdük, Özlem; Güdük, Özden; Yazıcı, Zeynep; Dağci, Selma; Sertbaş, Yaşar

doi:10.14744/nci.2019.59751

Cited by 1 publication

(6 citation statements)

References 33 publications

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“…In this study, greater insulin use could be attributed to older age, greater comorbidities, and a longer duration of diabetes of more than 10 years. Heimro et al [ 5 ] and Sertbas et al [ 11 ] reported that a considerably larger percentage of insulin users in their study had HbA1c readings within the recommended range in comparison to those not using insulin.…”

Section: Discussionmentioning

confidence: 94%

“…Home-based care provides great benefits in managing chronic illnesses [ 17 , 18 ]. There are a lot of studies on treating elder diabetic patients in the literature, but not enough studies on diabetic patients receiving home healthcare compared to hospital care clinics [ 5 , 11 , 12 ]. Thus, this study aimed to explore the effect of home healthcare services compared to hospital clinic care for controlling T2DM at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, it is necessary to implement regular and meticulous screening and treatment procedures to evaluate these individuals' medical, psychological, functional, and social aspects. The rise in life expectancy and technological advancements have led to a significant surge in the elderly population receiving home care services [ 11 ]. These services contribute to the development of effective therapeutic strategies and the establishment of glycemic control objectives.…”

Section: Introductionmentioning

confidence: 99%

“…These services contribute to the development of effective therapeutic strategies and the establishment of glycemic control objectives. Hence, home healthcare plays a crucial source in effective medical treatment for the elderly population [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…More people are turning to home health services to provide patients with mobility issues with services in a pleasant setting, safeguard the patient from hospital infections, and reduce the need for unnecessarily lengthy hospital stays. Furthermore, home services may be able to avoid the high capital expenses involved in constructing and maintaining major hospitals [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Type 2 Diabetes Mellitus Control at Home Healthcare and Hospital Clinic Care at King Salman Armed Forces Hospital (2021-2022): A Retrospective Cohort Study

Mohamad,

Adhahi,

Alhablany

et al. 2023

Cureus

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Background: Home healthcare represents a great necessity for patients with diabetes mellitus (DM). Although there are numerous studies on geriatric diabetic patients, there are few studies on diabetic home care versus hospital care. Aim: This study aimed to compare the effect of home healthcare services to hospital care for controlling type 2 diabetes mellitus (T2DM) at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia. Methods: This retrospective cohort study included patients with type 2 diabetes mellitus at King Salman Armed Forces Hospital. The home healthcare group included 128 participants who received frequent follow-up visits at home. The hospital care group included 128 participants from the primary care clinic. Glycosylated hemoglobin (HbA1c) was used to measure glycemic control. Logistic regression analysis was done to detect factors related to achieving glycemic control. Results: Home healthcare care had a greater impact on the reduction of baseline glycosylated hemoglobin levels (p=0.0053). The target glycosylated hemoglobin was achieved by patients who received home healthcare (p=0.020). Using the multivariate regression analysis, home healthcare, married patients, those who can do full daily life activities without assistance, and those who were treated with only insulin had significant correlations to meet the target glycosylated hemoglobin level (odds ratio: 0.814, 0.541, 0.448, and 0.144; 95% confidence intervals: 0.72-0.94, 0.30-0.99, 0.31-0.65, and 0.08-0.25, respectively). Conclusions: Home care strategy for patients suffering from type 2 diabetes mellitus provides better glycemic control compared to hospital care. Home care, marriage, doing full daily activities, and insulin treatment are important factors affecting glycemic control.

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Section: Discussionmentioning

confidence: 94%