Assessment of a patient‐centered initiative to improve hypertension management for adults with comorbid type 2 diabetes at a free clinic in the rural south
| Autor: | Sandra S. Yamane, Jennie C. De Gagne, Martha Holye, Alysse Riggs, George D Kimberly |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Rural Population medicine.medical_specialty Free clinic Comorbidity Type 2 diabetes film.subject 03 medical and health sciences 0302 clinical medicine Risk Factors Patient-Centered Care Internal medicine Diabetes mellitus North Carolina Humans Medicine 030212 general & internal medicine Medical prescription Risk factor General Nursing 030504 nursing business.industry Disease Management Guideline Middle Aged medicine.disease Lifestyle management Diabetes Mellitus Type 2 film Hypertension Female 0305 other medical science business Biomarkers Program Evaluation Patient education |
| Zdroj: | Nursing Forum. 55:348-355 |
| ISSN: | 1744-6198 0029-6473 |
| Popis: | BACKGROUND Hypertension is the most modifiable risk factor for cardiovascular disease. Low levels of adherence to medication regimens, positive health behaviors, and ideal metric goals are associated with low rates of morbidity and mortality, impaired physical function, and frailty. AIM This quality improvement study sought to assess whether a program of patient and provider education, combined with a decision aid (DA) designed to increase shared decision making, would improve (a) patient knowledge about hypertension management, (b) provider adherence to prescription guidelines for the management of hypertension, (c) medication adherence for the management of hypertension by the patient, and (d) communication between provider and patient. SETTING Free clinic in the United States rural south. PARTICIPANTS Twenty-four patients with comorbid hypertension and type 2 diabetes. METHODS A pretest/posttest design utilizing a provider education, pre-encounter quiz, focused patient education, and DA was used to evaluate the intervention. RESULTS A significant increase in pretest/posttest scores 60% (SD = 29%) to 93% (SD = 15%), P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|