Abstract

Management of chronic disease pathologies requires the patient to have the ability to understand and manage their care. This may be especially challenging in the aging population caring for themselves at home. The home care agency noted the patients had a knowledge deficit regarding T2DM self-management of blood glucose levels. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the American Association of Diabetes Educators 7(AADE7) diabetes self-management program improved glucose levels and diabetic management knowledge among adult diabetic home health patients aged 65 and older. The project took place in northwestern Illinois over four-weeks. The theoretical framework utilized for this project included Rosenstock's health belief model (HBM) and the Dorothea Orem's model of nursing. Diabetic self-management knowledge was measured using the 16 items Diabetic Self-Management Questionnaire (DSMQ) in a total sample size of 10 home health patients. A paired t-test was used to analyze a change in blood glucose levels and knowledge. The results indicated a clinical and statistically significant improvement in both reducing blood glucose levels t(9) = 16.71, p = .000 and improved knowledge t(9) = 8.80, p = .000 pre to post-implementation. The results indicate that the implementation of the AADE7 diabetes self-management program may improve glucose levels and diabetic management knowledge among adult diabetic home health patients. Recommendations include sustainment of the practice improvement project and looking for other evidence-based interventions that can aid in lowering the risk of complications.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28316059; ProQuest document ID: 2489547818. The author still retains copyright.

Notes

Tool(s) Used: Rosenstock's Health Belief Model (HBM) and Orothea Orem's Model of Nursing

Author Details

Anne N. Ohakosim, DNP, MSN, BSN, RN

Sigma Membership

Theta Chi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Blood Glucose Levels, American Association of Diabetes Educators 7, Diabetes Mellitus, Diabetes Self-Management

Advisor

Rhonda Johnston

Second Advisor

Benedita Olagbegi

Degree

DNP

Degree Grantor

Grand Canyon University

Degree Year

2020

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-09-23

Full Text of Presentation

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