DIABEZE: Diabetes self-management among the elderly in a Belgian home for the aged: a best practice implementation project.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES Jbi Evidence Implementation Pub Date : 2024-10-09 DOI:10.1097/XEB.0000000000000461

Marleen Corremans, Comfort Ohenewaa, Isaura Van Steenberghe, Trudy Bekkering, Hilke Jespers

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Abstract

Objectives: The aim of this project was to improve the self-management of diabetes among elderly residents in a Belgian home for the aged.

Introduction: Diabetes is a common chronic condition with significant comorbidity. Incidence is increasing, but a third of patients with diabetes are unaware that they have the disease. The treatment of diabetes requires a multifactorial approach. Treatment guidelines on diabetes recommend involving patients in monitoring their condition because supported self-management improves daily glycemic control.

Methods: This evidence implementation project used the JBI Evidence Implementation Framework, which follows three phases. In the first phase, the area of change, stakeholders' role, and practice context and readiness for change are investigated. In the second phase, a baseline audit is conducted to compare current practice with best practice. Strategies are then implemented to address any areas of non-compliance with best practice. In the third phase, a follow-up audit is conducted to evaluate changes in practice.

Results: At baseline, six criteria had 0% compliance, two criteria had compliance lower than 50%, and only 49% of health care workers were familiar with the procedure for hypoglycemia treatment. Improvement strategies included creating awareness among health workers. In the follow-up audit, one criterion improved from 0% to 100%, three criteria improved from 0% to 85%, two criteria reached the threshold of 50% compliance, and one criterion reached 19%. Further audits are needed to ensure sustainability.

Conclusions: This project improved diabetes self-management in elderly people living in a Belgian home for the aged. An in-depth planning phase with internal facilitation and interdisciplinary collaboration between all co-workers addressed barriers related to quality systems, structure, communication, and education.

Spanish abstract: http://links.lww.com/IJEBH/A258.

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DIABEZE：比利时养老院中老年人的糖尿病自我管理：最佳实践实施项目。

项目目标该项目的目的是改善比利时一家养老院的老年居民对糖尿病的自我管理：简介：糖尿病是一种常见的慢性疾病，合并症严重。发病率在不断上升，但三分之一的糖尿病患者并不知道自己患有糖尿病。治疗糖尿病需要采取多因素方法。糖尿病治疗指南建议让患者参与病情监测，因为支持自我管理可改善日常血糖控制：本证据实施项目采用了 JBI 证据实施框架，该框架分为三个阶段。在第一阶段，调查变革领域、利益相关者的角色、实践背景和变革准备情况。在第二阶段，进行基线审计，将当前实践与最佳实践进行比较。然后实施相关战略，解决任何不符合最佳做法的地方。在第三阶段，进行后续审计，以评估实践中的变化：结果：在基线阶段，六项标准的合规率为 0%，两项标准的合规率低于 50%，只有 49% 的医护人员熟悉低血糖治疗程序。改进策略包括提高医护人员的认识。在后续审计中，有一项标准从 0% 提高到 100%，有三项标准从 0% 提高到 85%，有两项标准的达标率达到 50%，有一项标准的达标率为 19%。为确保可持续性，还需要进一步的审计：该项目改善了比利时养老院老人的糖尿病自我管理。在深入规划阶段，通过内部促进和所有同事之间的跨学科合作，解决了与质量体系、结构、沟通和教育有关的障碍。西班牙文摘要：http://links.lww.com/IJEBH/A258。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Jbi Evidence Implementation Multiple-

CiteScore

3.20

自引率

13.00%

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