Kontakt 2020, 22(1):9-15 | DOI: 10.32725/kont.2020.009

Effectiveness of care of patients with diabetes mellitus in the context of Wagner's modelNursing - Original article

Ľubomíra Tkáčová *, Dagmar Magurová, Beáta Grešš Halász, Ľudmila Majerníková
University of Prešov, Faculty of Health Care, Department of Nursing, Prešov, Slovak Republic

Introduction: In the 21st century, the number of chronic diseases has increased significantly. Doctor Wagner and his team presented the most influential theoretical model of care for the chronically ill - the Chronic Care Model - CCM.

Design: The presented paper analyses the results obtained by quantitative research.

Objective: The objective of this quantitative research was to find out the effectiveness of individual elements of Wagner's model (CCM) in the care of patients with diabetes mellitus, depending on the type of treatment.

Methods: The total sample consisted of 1,511 respondents. The selection of respondents was based on stratified selection. The data collection tool used was the standardized PACIC+ questionnaire.

Results: By examining the effectiveness of evaluation of care for DM patients (depending on the type of treatment) we found that there is a significant relationship among variables. Patients, who use an insulin pump, positively evaluate most of the elements of CCM. On the contrary, patients treated with anti-diabetics report the worst rating. The greatest differences were found in patients' satisfaction with the overall organization of care. Patients with an insulin pump were most satisfied (mean 3.60), patients on insulin pens were less satisfied (mean 3.33), and the least satisfied were patients treated with PAD (peroral anti-diabetics) (mean 3.17).

Conclusion: Wagner's model has the potential to improve the efficiency of care for patients with diabetes mellitus without an adverse effect on patient outcomes.

Keywords: Diabetes mellitus; Efficiency; Chronic diseases; Nursing; Wagner's model

Received: May 6, 2019; Revised: December 4, 2019; Accepted: February 19, 2020; Published: February 28, 2020  Show citation

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Tkáčová Ľ, Magurová D, Halász BG, Majerníková Ľ. Effectiveness of care of patients with diabetes mellitus in the context of Wagner's model. Kontakt. 2020;22(1):9-15. doi: 10.32725/kont.2020.009.
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