Tímarit hjúkrunarfræðinga - 2024, Blaðsíða 90

Follow up and outcomes of treatment for people with type 2 diabetes within two nurse led clinics in primary care
ENGLISH SUMMARY
Follow up and outcomes of treatment for people with
type 2 diabetes within two nurse led clinics
in primary care
Birgisdottir, M., Skuladottir, H. and Sigurdardottir, A.K.
ABSRTAKT
Aim
More nurse led diabetes clinics in primary care are established. The
clinics should follow international guidelines in diabetes care. The
purpose of this study was to analyse outcomes of treatment in patients
with type 2 diabetes, in two diabetes clinics, on measurements with
at least six months interval and compare to international guidelines.
Attendance to the clinic and use of other services was analysed
Method
A retrospective cohort study in primary care of The Healthcare
institution of North Iceland (HSN) in Fjallabyggð and Dalvík. The
sample was patients in the two diabetes clinics from beginning of
2019 to the end of 2020 and had two HbA1c measurements with
at least six months between the measurements (Time 1 and 2). In
addition, use of blood sugar, blood pressure and blood lipid lowering
medications were analysed. Descriptive and inferential statistics
were used and measurements compared to international guidelines.
Results
At time 1, mean age (n = 88) was 66.1 (±12.68) years, 58% were male.
Diabetes duration was 1-21 years. At time 2 mean HbA1c was 47.8
mmol/mol (±14.9). All participants (n = 88) did use medicine. Most
used blood sugar lowering medicine (93.2%), around half of the
sample (44.3%) used Glucagon-like peptide-1 agonista (GLP-1). In
total 80.7% of the participants took blood pressure lowering medicine
and around half of the sample did use lipid lowering medicine. The
most common complication was cardiovascular disease (84.1%).
HbA1c (p=0.049), body mass index (p=0.013) and systolic pressure
(p=0.040) decreased at the second measurement. At the second
measurement 72,7% reached international goals in HbA1c but 32%
reached it in body mass index at the same time.
Conclusions
Most patients reached international guidelines goals in clinical
measurements. Regular follow up, attendance to the diabetes clinic
and collaboration with the patient gives a positive outcome. The
results demonstrate the clinical importance of having nurse led
diabetes clinics in primary care. The two diabetes clinics seem to
follow international guidelines when providing the care.
Keywords
Diabetes Clinics, Primary Health Care, International Guidelines,
Cohort Study.
Correspondent
matthildurb@hsn.is