Heegirl Kim, RN, MPH, PhD, Dept. of Nursing, Kyungwon College, 461-702, Bokjeong-Dong, Sujeong-Gu, Seongnam-Shi, Kyoungki-Do, South Korea, 82-2-408-5061, hgkim@kwc.ac.kr, Eunyoung Shin, RN, MPH, PhD, Department of Silver Welfare, Dong Seoul College, 423 Bokjeong-Dong, Sujeong-Gu, Seongnam-Si, Kyoungki-Do, South Korea, and Cheol Hwan Kim, MD, MPH, PhD, Family Medicine, Inje University, Seoul Paik Hospital Jur-Dong 2 Ka, Jung-Gu, Seoul, South Korea.

Purpose : We first launched the case management program for diabetic patients who were registered in National Health Insurance Corporation in Korea to promote their effective management of diabetics. This study was designed in order to assess how much effectively the case management program worked to diabetic patients.

Methods : Diabetic patients were provided with 8 weeks individual program. For this study, data were obtained from 71 diabetic patients through October in 2002 to March in 2003. We evaluated the effectiveness of the program by the results of blood sugar level, knowledge for diabetes, difficulty index in diabetic management, and the health risk factor changes at baseline, discharge and after 6 months.

Results : The FBS level decreased from 164.3mg/dl to 146.5mg/dl and PP2 blood sugar level decreased from 224.0mg/dl to 203.0mg/dl. After 6 months from discharge, blood sugar levels were 130.5mg/dl and 196.6mg/dl respectively. The baseline difficult index in diabetes management decreased from 3.52 to 2.91 at discharge. After 6 months from discharge, it decreased to 0.75. We observed the improvement in performance of self BST, nutritional management, foot management, oral hygiene, and proper medication at discharge. But after 6 months from discharge, the results were various.

Conclusions: We observed that case management program for diabetic patients resulted in significant improvement of management. Even though some outcome data got worse after 6 months from discharge, they improved comparing to baseline.

Learning Objectives:

At the conclusion of the session, the participants will be able to 1.Discuss the effect of diabetic case management program in community
• Develop effective diabetic case management program considering follow-up services

Keywords: Case Management, Diabetes

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.