J Korean Diabetes > Volume 19(2); 2018 > Article
The Journal of Korean Diabetes 2018;19(2):119-133.
DOI: https://doi.org/10.4093/jkd.2018.19.2.119    Published online July 9, 2018.
한국인 2형 당뇨병에서 팀기반 교육이 혈당 조절에 미치는 효과
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The Effectiveness of Multidisciplinary Team-Based Education in the Management of Type 2 Diabetes.
Jong Ho Kim, Yun Jeong Nam, Won Jin Kim, Kyung Ah Lee, A Ran Baek, Jung Nam Park, Jin Mi Kim, Seo Young Oh, Eun Heui Kim, Min Jin Lee, Yun Kyung Jeon, Bo Hyun Kim, In Joo Kim, Yong Ki Kim, Sang Soo Kim
1Department of Internal Medicine, Pusan National University Hospital, Busan, Korea. drsskim7@gmail.com
2Department of Internal Medicine, Gimhae Bokum Hospital, Gimhae, Korea.
3Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea.
4Department of Nursing, Pusan National University Hospital, Busan, Korea.
5Department of Nutrition, Pusan National University Hospital, Busan, Korea.
6Department of Pharmacy, Pusan National University Hospital, Busan, Korea.
7Department of Biostatistics, Pusan National University Hospital, Busan, Korea.
8Kim Yong Ki Internal Medicine Clinic, Busan, Korea.
Abstract
BACKGROUND
Although clinicians, nurse specialists, pharmacists, and nutritionists expend significant time and resources in optimizing care for patients with diabetes, the effectiveness of integrated diabetes care team approach remains unclear. We assessed the effects of a multidisciplinary team care educational intervention on glycated hemoglobin (HbA1c) levels among diabetes patients. METHODS: We conducted a matched case-control study in Korean patients with type 2 diabetes, comparing the propensity scores pertaining to the effectiveness in reducing HbA1c levels between a group receiving an educational intervention and a control group. We included 40 pairs of patients hospitalized between June 2014 and September 2016. HbA1c values measured at baseline, 3 months, and 6 months were compared between the two groups. RESULTS: The educated group showed an improvement in HbA1c levels compared to the control group at 3 months (6.3 ± 2.3% vs. 9.5 ± 4.0%; P = 0.020) and at 6 months (7.5 ± 1.5% vs. 9.6 ± 3.0%; P = 0.106). There was a significant difference in the change in mean HbA1c from baseline to 3 months between the two groups (−35.7 ± 26.1% vs. −9.1 ± 20.5%; P = 0.013). CONCLUSION: A multidisciplinary team care education intervention was advantageous for improving glucose control in patients with type 2 diabetes, and may help to optimize glycemic control in clinical practice.
Key Words: Diabetes mellitus, Glycated hemoglobin, Health education


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