Volume 3, Issue 4 ( Autumn 2017 -- 2017)                   JCCNC 2017, 3(4): 251-262 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Dehnabi A, Navipour H, Radsepehr H, Tadayonfar M A R. Effect of Discharge Planning on Metabolic Factors in Type 2 Diabetic Patients. JCCNC 2017; 3 (4) :251-262
URL: http://jccnc.iums.ac.ir/article-1-155-en.html
1- Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , naviporh@modares.ac.ir
3- Center of Counseling and Mental Health of Students, Sabzevar University of Medical Sciences, Sabzevar, Iran.
4- Department of Nursing, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran.
Abstract:   (3255 Views)
Background: Diabetes is one of the main causes of mortality in both the developed and developing countries (e.g. Iran). It can lead to serious consequences, such as fatigue, paralysis as well as financial burden for the health system and the patients. In this research, we are going to consider the effect of discharge planning program on metabolic factors in type 2 diabetic patients. 
Methods: The present study is a quasi- experimental research. The samples consisted of 70 patients with type II diabetes, who were admitted to Vasei hospital in Sabzevar- Iran. The samples were selected using the convenience sampling method. Discharge planning was carried out by researchers based on the nursing process in two stages: before and after discharge. The follow- up process continued for four months after the patients’ discharge. Data collection instruments consisted of check list, medical measurement devices, sphygmomanometer, and blood test to measure metabolic factors (glycosylated hemoglobin, triglyceride, high- density lipoprotein, systolic and diastolic blood pressure and waist circumference). Data was analyzed by pair t test, independent t-test, and chi-square using SPSS-PC (V.20).
Results: There was a statistically significant difference between the intervention and the control group, taking into account the average systolic blood pressure (P = 0.002), glycosylated hemoglobin (P < 0.0001), and triglycerides level (P = 0.02). However, no statistically significant difference was observed in the mean score HDL (P = 0.69), diastolic blood pressure (P = 0.3) and waist size (P = 0.46).
Conclusion: According to the findings, one may conclude that the discharge planning has led to the improvement of some of the metabolic factors (glycosylated hemoglobin, triglyceride, systolic blood pressure) among the diabetic patients.
Full-Text [PDF 603 kb]   (1153 Downloads) |   |   Full-Text (HTML)  (28359 Views)  
Type of Study: Research | Subject: Special
Received: 2017/02/26 | Accepted: 2017/07/3 | Published: 2017/11/1

1. American Diabetes Association., 2006. Diagnosis and classification of diabetes mellitus. Diabetes Care, 29(1), pp. 43–8.
2. Andrews, R. et al., 2011. Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial. The Lancet, 378(9786), pp. 129–39. doi: 10.1016/s0140- 6736(11)60442- x
3. Atwal, A., 2002. Nurses' perceptions of discharge planning in acute health care: A case study in one British teaching hospital. Journal of Advanced Nursing, 39(5), pp. 450- 8. doi: 10.1046/j.1365- 2648.2002.02310.x
4. Bauer, M., et al., 2009. Hospital discharge planning for frail older people and their family; Are we delivering best practice: A review of the evidence. Journal of Clinical Nursing, 18(18), pp. 2539- 46. [DOI:10.1111/j.1365-2702.2008.02685.x] [PMID]
5. Besler, C., Lüscher, T.F. & Landmesser, U., 2012. Molecular mechanisms of vascular effects of High- density lipoprotein: alterations in cardiovascular disease. EMBO Molecular Medicine, 4(4), pp. 251–68. doi: 10.1002/emmm.201200224 [DOI:10.1002/emmm.201200224]
6. Department of Human Services, 1998. Background Paper: A Framework for Effective Discharge December. Victoria: Victoria State Government.
7. Derosa, G., Salvadeo, S. & Cicero, A., 2006. Recommendations for the treatment of hypertension in patients with DM: Critical evaluation based on clinical trials. Current Clinical Pharmacology, 1(1), pp. 21–33. doi: 10.2174/157488406775268237 [DOI:10.2174/157488406775268237]
8. Deshpande, A. D., Harris Hayes, M. & Schootman, M., 2008. Epidemiology of diabetes and diabetes- related complications. Physical Therapy, 88(11), pp. 1254–64. doi: 10.2522/ptj.20080020 [DOI:10.2522/ptj.20080020]
9. Dyck, R. et al., 2010. Epidemiology of diabetes mellitus among First Nations and non- First Nations adults. Canadian Medical Association Journal, 182(3), pp. 249–56. doi: 10.1503/cmaj.090846 [DOI:10.1503/cmaj.090846]
10. Franciosi, M. et al., 2011. ROSES: Role of self- monitoring of blood glucose and intensive education in patients with Type 2 diabetes not receiving insulin: A pilot randomized clinical trial. Diabetic Medicine, 28(7), pp. 789–96. doi: 10.1111/j.1464- 5491.2011.03268.x
11. Jack, B. W., 2009. A reengineered hospital discharge program to decrease rehospitalization. Annals of Internal Medicine, 150(3), pp. 178- 87. doi: 10.7326/0003- 4819- 150- 3- 200902030- 00007
12. Lashkari, T., 2011. [Effect of tele nursing on metabolic (glycemic) control and quality of life of type 2 diabetic patients in kerman (Persian)] [MSc. thesis]. Kerman: Kerman University of Medical Sciences.
13. Mahmoudi, A., 2006. [Effects of self care planning on reduction of A1C hemoglobin in adults with diabetes mellitus (Persian)]. Medical Science Journal of Islamic Azad Univesity, Tehran Medical Branch, 16(3), pp. 171- 6.
14. Makaryus, A. N. & Friedman, E. A., 2005. Patients' understanding of their treatment plans and diagnosis at discharge. Mayo Clinic Proceedings, 80(8), pp. 991- 4. doi: 10.4065/80.8.991 [DOI:10.4065/80.8.991]
15. Marks, L., 1994. Seamless care or patchwork quilt: Discharging patients from acute hospital care. London: King's Fund Institute.
16. Musavi Far, A., Zolfaghari, M. & Faghani, H., 2012. [The impact of nurse short message services and telephone follow- ups on diabetic adherence (Persian)]. Iranian Journal of Diabetes and Lipid Disorders, 10(4), pp. 407- 18.
17. Nalysnyk, L., Hernandez Medina, M. & Krishnarajah, G., 2010. Glycaemic variability and complications in patients with diabetes mellitus: evidence from a systematic review of the literature. Diabetes, Obesity and Metabolism, 12(4), pp. 288–98. doi: 10.1111/j.1463- 1326.2009.01160.x
18. Philbin, E. F., 1999. Comprehensive multidisciplinary programs for the management of patients with congestive heart failure. Journal of General Internal Medicine, 14(2), pp. 130–5. doi: 10.1046/j.1525- 1497.1999.00291.x
19. Phillips, C. O. et al., 2004. Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure. JAMA, 291(11), p. 1358. doi: 10.1001/jama.291.11.1358 [DOI:10.1001/jama.291.11.1358]
20. Ranjbar, A., 2012. [Study of the effect of telenursing (call phone program) on metabolic control and quality of life in patients of type 2 diabetes referred to the diabetic association in Tehran (Persian)] [MSc. thesis]. Kerman: Kerman University of Medical Science.
21. Rorden, J. W. & Taft, E., 1990. Discharge planning guide for nurses. Philadelphia: Saunders Company.
22. Rose, K. E., & Haugen, M. B., 2010. Discharge planning: Your last chance to make a good impression. Medsurg Nursing, 19(1), pp. 47- 53. [PMID]
23. Taylor, C., 2003. Fundamentals of nursing: Concepts, process, and practice (1) [Z. Safavi Bayat, Persian trans]. Tehran: Boshra Publishing.
24. Watts, R. & Gardner, H., 2005. Nurses' perceptions of discharge planning. Nursing & Health Sciences, 7(3), pp. 175- 83. doi: 10.1111/j.1442- 2018.2005.00229.x
25. Wexler, D. J. et al., 2012. Impact of inpatient diabetes management, education, and improved discharge transition on glycemic control 12 months after discharge. Diabetes Research and Clinical Practice, 98(2), pp. 249–56. doi: 10.1016/j.diabres.2012.09.016 [DOI:10.1016/j.diabres.2012.09.016]
26. World Health Organization., 2014. Ten facts about diabetes. Geneva: World Health Organization.
27. Yam, C. H., et al., 2010. Measuring and preventing potentially avoidable hospital readmissions: A review of the literature. Hong Kong Medical Journal, 16(5), pp. 383- 9. PMID: 20890004 [PMID]
28. Zakerimoghadam, M., et al., 2008. [Effect of nurse- led telephone follow ups (tele- nursing) on diet adherence among type 2 diabetic patients (Persian)]. Journal of Hayat, 14(2), pp. 63- 71.

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb