Abstract：
OBJECTIVE:The main objective is to examine the effect of the introduction of a practice nurse (PN) on the quality of type 2 diabetes care. METHODS:Retrospective cohort study in 397 type 2 diabetes patients recruited from five general practices in the Netherlands. Measurements were performed in 2003, 2005 and 2007, to estimate the effects before (2003) and after the introduction of the PN (2005) as well as the changed diabetes guidelines (2007). Process measures indicated whether measurements of HbA(1c), systolic blood pressure, lipid profile, funduscopy, foot examination and annual check-ups were carried out. Outcome measures comprised actual levels of HbA(1c), systolic blood pressure, lipid levels and BMI. RESULTS:All process measures - except performance of funduscopy - improved significantly. Mean HbA(1c) decreased from 6.8% to 6.5% (2003-2007: ns, 2005-2007: p<0.01), mean LDL-cholesterol from 3.2 to 2.7 mmol/L (p<0.0001) and mean total cholesterol/HDL-cholesterol ratio from 4.5 to 3.7 (p<0.0001). For systolic blood pressure, the number of patients reaching targets increased considerably in 2007. Analyses for both study populations at different time points as well as for patients present at all time points showed comparable results. CONCLUSIONS:Delegating diabetes care to a PN leads to significant improvements in diabetes care. General practitioners should seriously consider close collaboration with PNs to delegate diabetes care tasks.
journal_name
Prim Care Diabetesjournal_title
Primary care diabetesauthors
den Engelsen C,Soedamah-Muthu SS,Oosterheert NJ,Ballieux MJ,Rutten GEdoi
10.1016/j.pcd.2009.08.003subject
Has Abstractpub_date
2009-08-01 00:00:00pages
165-71issue
3eissn
1751-9918issn
1878-0210pii
S1751-9918(09)00082-5journal_volume
3pub_type
杂志文章abstract：AIMS:To determine the status of blood sugar control by using fasting blood sugar (FBS) of ≤6.1 mmol/l and glycosyted hemoglobin A1c (HbAc1) of <7% as indictors of glycemic control and to assess the influence of demographic, blood pressure (BP) and lipid characteristics on glycemic control. METHODS:This retrospective s...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2014.01.003
更新日期：2014-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2010-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2010-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
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更新日期：2017-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.07.013
更新日期：2019-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
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更新日期：2014-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2012.03.003
更新日期：2012-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.01.002
更新日期：2018-08-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.01.002
更新日期：2013-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.05.017
更新日期：2021-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.11.010
更新日期：2020-12-03 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,多中心研究
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更新日期：2020-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.07.004
更新日期：2019-02-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.01.008
更新日期：2018-08-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章,评审
doi：10.1016/j.pcd.2010.02.003
更新日期：2010-07-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2014.10.007
更新日期：2015-08-01 00:00:00
abstract：AIMS:To evaluate the impact of the integration of onsite diabetes education teams in primary care on processes of care indicators according to practice guidelines. METHODS:Teams of nurse and dietitian educators delivered individualized self-management education counseling in 11 Ontario primary care sites. Of the 771 a...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2019.06.004
更新日期：2020-04-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.04.004
更新日期：2020-10-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2018.07.015
更新日期：2018-12-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.05.004
更新日期：2009-05-01 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.12.005
更新日期：2021-01-06 00:00:00
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journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.02.003
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:The aim of this research study was to ascertain the awareness of Maltese family doctors to the prevalence and significance of impaired glucose regulation and early diagnosis of type 2 diabetes and whether practices were influenced by employment status, post-graduate training in diabetes or years since graduat...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2013.12.003
更新日期：2014-10-01 00:00:00
abstract：AIMS:To analyze the use of pain medication among community-dwelling people aged 65 years or older with and without type 2 diabetes in primary care. METHODS:A total of 187 patients with and 176 patients without diabetes were randomly selected from a primary care sample of 389 patients with diabetes and 604 age- and gen...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.05.016
更新日期：2020-12-01 00:00:00
abstract：:There are several tools for the assessment of quality of life (QOL) in diabetes mellitus. In the current research, two standard questionnaires for evaluating of QOL were selected. First one was a questionnaire from the World Health Organization quality of life (WHOQOL-BREF 26) and the second one, The Iranian diabetics...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2011.02.001
更新日期：2011-07-01 00:00:00
abstract：AIM:To investigate the effect of the BATHE therapeutic interview technique on the empowerment of diabetes mellitus patients in primary care. METHOD:A cluster randomised controlled study using the BATHE interview technique was conducted on diabetes mellitus patients in primary care. Physicians in the intervention group...
journal_title：Primary care diabetes
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pcd.2016.12.003
更新日期：2017-04-01 00:00:00
abstract：AIM:The aim of this study was to evaluate the effect of diabetes education and short message service reminders on metabolic control and disease management in patients with type 2 diabetes mellitus who were registered in a family health center and who were using oral antidiabetics. METHODS:This pre-test and post-test c...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2020.04.007
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:Diabetes is especially common in the United Arab Emirates. Its complications in patients residing in the region have yet to be fully explored. This study reports on foot problems in our diabetic patients, with emphasis on the impact of illiteracy on foot care and complications due to diabetes. METHODS:Adult...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2015.04.008
更新日期：2015-12-01 00:00:00
abstract：AIM:To investigate the organisation of diabetes care in general practice in Ireland and identify areas for future development. METHODS:Survey of a representative sample of 600 general practitioners (GPs). The questionnaire contained closed and open-ended questions addressing 4 topics; characteristics of the practice, ...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.09.002
更新日期：2009-11-01 00:00:00
abstract：:Blood pressure management guidelines are widely available. Our aim was to examine differences in blood pressure on the same subjects in primary and secondary care. We identified 661 diabetic subjects with measurements with the aid of the SAIL databank. Blood pressure in primary care was significantly lower than second...
journal_title：Primary care diabetes
pub_type： 杂志文章
doi：10.1016/j.pcd.2009.06.001
更新日期：2009-08-01 00:00:00
