DNP Scholarly Projects

Abstract

Background: Type 2 diabetes mellitus (T2DM) and hypertension (HTN) were the 7th leading cause of death in the United States, accounting for over 160,000 deaths annually. Complications related to T2DM and HTN are preventable with lifestyle modifications and medications. However, research has shown that lack of patient self-management, poor medication adherence, and physician time restraints limit disease improvement. A telephone-based care management program (CMP) provides a solution to meeting patient needs. Purpose: The purpose of this scholarly project was to evaluate individual biomarkers for glycemic and HTN control, as well as self-monitoring of blood glucose (SMBG) over one year of patients with T2DM and HTN who were enrolled in a middle TN primary care clinic’s CMP. Methods: The scholarly project utilized an observational, retrospective chart review of secondary lab data and CMP interviews collected between April 2019 through August 2020. A convenience sampling technique identified eligible patients through the clinic’s EMR system (n = 51). Results: All individual biomarkers improved, whether significant or not, by 12 months. Significant changes were found with systolic blood pressure (p < .001), diastolic blood pressure (p < .001), and body mass index (p = .041). Hemoglobin A1c improved from 8.1% to 7.88% (p = .159). However, SMBG adherence only slightly improved with CMP participation (p = .381). Conclusions: Enrollment in a telephone-based CMP is associated with improved patient care, potentially leading to improved health outcomes and reduced complications.

Date

Spring 4-23-2021

First Advisor

Dr. Kathryn Dambrino, DNP

Scholarly Project Team Member

Dr. Ashley Scism, DNP

Scholarly Project Team Member

Dr. David Phillippi, PhD

Department

Nursing, School of

College

Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project

Degree

Doctorate of Nursing Practice (DNP)

Degree Level

Doctoral

Degree Grantor

Belmont University

Keywords

Care Management Program; Chronic Disease Management; Health Outcomes; Hypertension; Type 2 Diabetes Mellitus

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