J Agric Med Community Health.  2008 Sep;33(2):232-242.

Effect of Case Management Program on Self-Efficacy, Self-Care Behaviors and Glycometabolic Control in Patient with Diabetes

• Kim SY
• Cho BH
• Nam HS

Abstract

OBJECTIVES
We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea.
METHODS
One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control.
RESULTS
The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively.
CONCLUSIONS
The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.

Keyword

Case management; Diabetes mellitus; Self-efficacy; Self-care behaviors

MeSH Terms

Blood Glucose
Case Management
Diabetes Mellitus
Exercise
Fasting
Foot
House Calls
Humans
National Health Programs
Rural Population
Self Care
Telephone
Blood Glucose