Effects of Critical Pathway for Patients with Type 2 Diabetes Mellitus on Glycemic Control , the Knowledge on the Disease , and the Length of Hospital Stay

Yoon, Kun Ho; Yoo, Yang Sook; Oh, Jeong Ah; Song, Min Sun; Shin, Mi Ok; Kim, Kyoung Hee; Song, Bok Rye; Kim, Hee Seung

Focused Issue

Diabetes Monit 2002;3(1):76-86.

제 2 형 당뇨병 환자에게 적용한 표준진료지침이 혈당 , 당화혈색소 , 당뇨지식 및 재원일수에 미치는 효과

윤건호, 유양숙, 오정아, 송민선, 신미옥, 김경희, 송복례, 김희승

Effects of Critical Pathway for Patients with Type 2 Diabetes Mellitus on Glycemic Control , the Knowledge on the Disease , and the Length of Hospital Stay

Kun Ho Yoon, Yang Sook Yoo, Jeong Ah Oh, Min Sun Song, Mi Ok Shin, Kyoung Hee Kim, Bok Rye Song, Hee Seung Kim

Abstract

Background
The aim of this study was to examine the effects of the critical pathway for the admitted patients with type 2 diabetes mellitus on glycemic control, the knowledge on the disease, and the length of hospital stay. Methods: 89 diabetic in-patients were applied with the 1 week critical pathway which was consisted of intensive education program for self-management of diabetes mellitus such as glucose monitoring, excercise prescription, diet control, self-adjustment of the drugs and so on. The results were compared with 22 diabetic inpatients who were treated with conventional way. We assessed the effects of critical pathway on the degree of glycemic control, the knowledge on the disease, and the length of hospital stay. Results: Although fasting and postprandial 2 hours blood glucose levels did not showed statistically significant difference between critical pathway group and conventional group on discharge, HbA1c was significantly decreased in critical pathway group compared with the conventional group (7.5±1.8% vs 9.1±2.6%) on 3 months after discharge. Knowledge on the disease tended to increase in critical pathway group compared with the conventional group on discharge. The Length of hospital stay was significantly decreased in critical pathway group compared with the conventional group (8.4±2.8day vs 11.0±3.9day). Conclusion: These results showed that critical pathway for the patients with diabetes mellitus might be a useful way for improving the long term glycemic control through motivation, enhancing the knowledge on the disease as well as reducing the length of hospital stay.