The Effectiveness of Applying Case Management Model for Inpatients with Diabete

The purpose of this study was to explore the effectiveness of case management model at diabetes knowledge, self-management activities, inpatient satisfaction, and A1C levels for inpatient with diabete. Methods were used by single blinded trial design, purposeful cluster randomization sampling to experimental group and control group in Eastern Taiwan medical center hospital. The experimental group received the management care plan from a diabetes case manager and control group according to regular nursing care. Post-test data were collected in the first and the third month after discharge.

Fifty subjects completed the two times post-testing data. All participants' diabetes knowledge and self-management activities were poor. The A1C levels were controlled not well (8.6%±2.4) before case management . ANCOVA repeated measures were used to examine the effectiveness of the intervention. There was significant differences (p <.05) in diabetes knowledge(7.4±1.2), self-management activities(51.2±8.6), inpatient satisfaction (4.5±0.5), and A1C levels (7.6%±1.8). We suggest that case management model could be applied broadly among inpatients with diabetes. In the experimental group, one of self-management activities was significant difference in foot care(p <.05), but SMBG was difficult to implemented for diabetics.

Combined strategies may be applied to promote SMBG behaviors and keep case number should be improved in the future