Design and implementation of an Omaha System-based integrated nursing management model for patients with newly-diagnosed diabetes

Prim Care Diabetes. 2019 Apr;13(2):142-149. doi: 10.1016/j.pcd.2018.11.001. Epub 2018 Nov 27.

Abstract

Aims: The aim of the present paper was to establish and implement an integrated nursing management model for patients with newly-diagnosed type 2 diabetes mellitus (T2DM) based on the Omaha System and to explore its impact on blood glucose levels, quality of life, and diabetes knowledge in these patients.

Methods: A non-randomized concurrent controlled trial was designed and the study was conducted in a hospital on the east coast of China between September 2013 and November 2015. We screened for patients with newly-diagnosed T2DM in 12 clinics of 3 comprehensive hospitals. A total of 367 patients with newly-diagnosed T2DM were assigned into two groups. In the intervention group, patients received routine outpatient care plus integrated nursing management; in the control group, only routine outpatient care was given. Changes in blood glucose levels, quality of life, and diabetes knowledge in both groups before the intervention and 6 months after the intervention were observed and compared.

Results: At the 6months, blood glucose levels, quality of life, and diabetes knowledge in the intervention group were significantly superior to those in the control group (all P<0.01).

Conclusions: The integrated nursing management model was able to improve patients' glucose levels, quality of life, and diabetes knowledge.

Keywords: Continuing nursing; Integrated nursing management model; Omaha System; Type 2 diabetes mellitus.

Publication types

  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • China
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / nursing*
  • Diabetes Mellitus, Type 2 / psychology
  • Female
  • Health Communication
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Nurse's Role
  • Nurse-Patient Relations
  • Patient Education as Topic / methods*
  • Quality of Life
  • Self Care / methods*
  • Time Factors
  • Treatment Outcome

Substances

  • Biomarkers
  • Blood Glucose