Nurse practitioner-mediated intervention for preoperative control of diabetes in elective surgery patients.

Publication/Presentation Date

10-1-2016

Abstract

PURPOSE: This study evaluated the effect of nurse practitioner (NP) mediated interventions on diabetes control before elective surgery.

DATA SOURCES: A program was initiated to improve preoperative diabetes control in patients with HbA1c > 8%. The intervention was initially mediated by a physician alone and subsequently changed to involve NPs. The goal of intervention was fasting blood glucose (BG)/dL on the day of surgery (DOS). Data were collected before the program (control group), during physician-mediated intervention (phase 1), and during NP-mediated intervention (phase 2).

CONCLUSIONS: There were 222 patients in the control group, 226 in phase 1, and 160 in phase 2. Mean BG (mg/dL) on DOS was 171.4 ± 66.5 in control group, 162.6 ± 58.1 in phase 1, and 153.4 ± 46.6 in phase 2 (p = NS for control vs. phase 1 and

IMPLICATIONS FOR PRACTICE: NP-mediated interventions increased access to care and resulted in lower BG levels and may be a good strategy for preoperative diabetes control.

Volume

28

Issue

10

First Page

528

Last Page

533

ISSN

2327-6924

Disciplines

Medicine and Health Sciences

PubMedID

27126225

Department(s)

Department of Medicine

Document Type

Article

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