Abstract
Aims
Diabetes self-management education (DSME) is recommended for all patients with diabetes.
Current estimates indicate that <50% of patients receive DSME, increasing risk for
hospitalization which occurs more frequently with diabetes. Hospitalization presents
opportunities to provide DSME, potentially decreasing readmissions. To address this,
we investigated the feasibility of providing DSME to inpatients with diabetes.
Methods
Patients hospitalized on four medicine units were randomized to receive DSME (Education
Group) (n = 9) prescribed by a certified diabetes educator and delivered by a registered nurse,
or Usual Care (n = 12). Participants completed Diabetes Knowledge Tests (DKT), Medical Outcomes Short
Form (SF-36), Diabetes Treatment Satisfaction Questionnaire (DTSQ), and the DTSQ-inpatient
(DTSQ-IP). Bedside capillary blood glucoses (CBG) on day of admission, randomization
and discharge were compared.
Results
There were no group differences in demographics, diabetes treatment, admission CBG
(186 ± 93 mg/dL vs. 219 ± 84 mg/dL, p = 0.40), DKT scores (Education vs. Usual Care 48 ± 25 vs. 68 ± 19, p = 0.09), SF-36, and DTSQ scores (28 ± 6 vs. 25 ± 7, p = 0.41). Patients receiving education reported more satisfaction with inpatient treatment
(83 ± 13 vs. 65 ± 19, p = 0.03), less hyperglycemia prior to (2.7 ± 4.5 vs. 4.5 ± 1.4, p = 0.03) and during hospitalization (3.9 ± 1.9 vs. 5.5 ± 1.2, p = 0.04); and had lower mean discharge CBG (159 ± 38 mg/dL vs. 211 ± 67 mg/dL, p = 0.02).
Conclusions
Inpatient diabetes education has potential to improve treatment satisfaction, and
reduce CBG.
Keywords
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Article info
Publication history
Published online: January 02, 2014
Accepted:
November 29,
2013
Received in revised form:
November 26,
2013
Received:
August 7,
2013
Identification
Copyright
© 2013 Published by Elsevier Inc.
