Diabetes Self-Care Knowledge, Behaviors, and Metabolic Control of Older Adults — The Effect of a Posteducational Follow-up Program
1993
Tu, Kuei-Shen | McDaniel, Gretchen | Templeton Gay, Janice
Older adults with diabetes experience greater barriers to practicing self-care activities necessary for disease control than their younger counterparts. It was hypothesized that posteducational follow-up intervention would increase self-care knowledge scores, improve metabolic control, and reduce self-care behavioral deficits. Twenty-seven hospitalized elderly patients with diabetes who had completed an inpatient education program were recruited and randomized into experimental (n=15) and control (n=12) groups. A posttest on HbA₁c and diabetes self-care knowledge (DKN) was administered to all subjects, and self-care behavioral deficits were measured. A four-week follow-up intervention via telephone contact also was administered to the experimental subjects. No significant difference was observed in DKN and HbA₁c values. A significant difference was achieved in reduction of self-care behavioral deficits (P<0.05-0.01). It was concluded that posteducational follow-up is necessary for enhancing self-care adherence and ensuring safe practice of home care for elderly patients with diabetes.
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