Objective: To describe the effects of individually tailored education by visiting nurses for low-income adult diabetic patients. Design and Sample: This one-group pretest-posttest study included 96 newly registered low-income adult diabetic patients in a public health center in DJ-gu (similar to a county in the United States) in 2006; the patients met the selection criteria. Measures: Diabetes knowledge, self-management, and blood glucose levels were compared before and after education. Intervention: 15 visiting nurses delivered individually tailored education for 60-90min/month for 7 months. Results: After education, diabetes knowledge (p<.001) and self-management in all categories of lifestyle (p<.001), diet (p<.001), exercise (p<.001), foot care (p<.001), medication (p=004), and insulin therapy (p=022) significantly improved. The mean fasting blood glucose (FBG) level decreased by 14.53mg/dl; this decrease was insignificant (p=117). However, the relationship between education and FBG levels was significant (χ 2=40.11, p=005). Conclusions: Tailored education effectively improved the patients' knowledge of diabetes and self-management. Therefore, regular, individually tailored education on a long-term basis by visiting nurses can provide essential education to low-income adult diabetic patients for maintaining self-management.
All Science Journal Classification (ASJC) codes
- Public Health, Environmental and Occupational Health