Diabetes Research and Clinical Practice - Volume 120 - Supplement 1 - October 2016

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team; iv) resources support to facilitate link-nurses to provide
patient teaching.
Purposive sampling was employed. The Diabetes Link-nurse
Perceived Role Competency Questionnaire was administered
to the nurses before and after the program. Participation in
diabetes education was counted by the number of staff and
patient education reported.
Results: Twenty nurses completed the program. Sixty percent
of the link-nurses had delivered more than one episode of
diabetes education to patients, and 44% of them had shared
their knowledge and information with their colleagues.
Link-nurses had shown significant improvement in perceived
role competency (p < 0.01), especially in the areas of teaching
patients on common oral anti-diabetic drugs and identifying
diabetic issues or problems for discussion. However, the
improved perceived competency did not correlate with link
nurses’ years of nursing experience, educational level, previ-
ous specialty training nor academic level.
Conclusion: The results concluded that the Diabetes Link-
nurse Program is effective in enhancing link-nurses’ partici-
pation in educating patients and colleagues on diabetes. The
education, support and resources provided also increased link-
nurses’ confidence in performing their roles in communica-
tion and patient care.
PG-18
Clinical implication of diabetes education program declaring a
goal in life for patients with diabetes mellitus
Nagaaki TANAKA 1,2 *, Hiroko HIGASHIYAMA2, Shinji UENO1,
Soudai KUBOTA 1, Saki OKAMOTO1, Yui SAKURAMACHI1,
Hitoshi KUWATA 1,3, Kouin WATANABE1, Takanori HYO1,
Chihiro KOUNO 4, Satoko HAMASAKI4, Tomoko MENYA4,
Hisako NODA 4, Naoki HIROSE5, Tomoko OKAMOTO6,
Hiroko HASHIMOTO 7, Yoshikazu HIRASAWA8, Tomoko AWA 9,
Naomi KITATANI 5 , Daisuke YABE1,3,5,
Yoshiyuki HAMAMOTO 1,3, Takeshi KUROSE1,3 ,
Yutaka SEINO 1,3. 1Center for Diabetes, Endocrinology and
Metabolism, Kansai Electric Power Hospital, 2Division of Medical
Education, Kansai Electric Power Medical Research Institute, 3Yutaka
Seino Distinguished Center for Diabetes Research, Kansai Electric
Power Medical Research Institute, 4Department of Nursing, Kansai
Electric Power Hospital, 5Center for Metabolism and Clinical
Nutrition, Kansai Electric Power Hospital, 6Department of Pharmacy,
Kansai Electric Power Hospital, 7Department of Clinical Laboratory,
Kansai Electric Power Hospital, 8Department of Rehabilitation,
Kansai Electric Power Hospital, 9Department of Ophthalmology,
Kansai Electric Power Hospital, 10Department of Diabetes,
Endocrinology and Nutrition, Kyoto University Graduate School of
Medicine, Japan
Objectives: For patients with diabetes mellitus, individualized
diabetes education program (DEP) is created and used to
facilitate the knowledge, skills, and ability necessary for
diabetes self-care management in many Japanese hospitals.
We have newly developed “ My Goals Sheet” (MG Sheet), which
is a self-evaluation tool for declaring a patient’s goals to
achieve within shorter, intermediate and longer period and
self-directed goal setting in healthy eating, physical activity,
medication and reducing risks for micro- and macro-vascular
complications. The aim of this study is to investigate whether
declaration of individual goals for patient’s life affect the
subsequent glycemic control.
Methods: Retrospective, observational study was conducted
with 138 patients who participated in DEP and completed
their own MG Sheet (male/female = 76/62, mean ± SD age:
60.2 ± 14.2 years; BMI: 25.9 ± 5.6 kg/m 2; HbA1c: 9.4 ± 2.0%). The
participants were categorized into four groups according to
their goals of life: “to live a long life/die in peace (group A) ”, “to
improve their health (group B)”, “to enjoy their job or hobby
(group C)” and “to dedicate to others (group D)”. HbA1c level in
each group was followed-up until 6 months after the admis-
sion with DEP.
Results: Among the participants, 4 patients were excluded
from the study because they did not complete their MG Sheet
correctly. Fifty-eight (43.6%) patients were categorized into
group B. In male, group A was predominant to group C (group
A, B, C, D = 34.7%, 41.7%, 15.3%, 8.3%), whereas group C was
predominant to group A in female (group A, B, C, D = 21.3%,
45.9%, 31.1%, 1.6%) (P = 0.0334). There was no difference with
category distribution: patients lower than 70 years of age
(group A, B, C, D = 25.5%, 47.9%, 21.3%, 5.3%), patients in 70
years and higher (group A, B, C, D = 35.9%, 33.3%, 25.6%, 5.1%).
With respect to glycemic control, changes in HbA1c at baseline
and at 6 month were as follows: group A; 9.2% and 7.1%, group
B; 9.4% and 7.5%, group C; 9.6% and 7.1%, group D; 10.0% and
7.1%, respectively. Achievement rate of HbA1c <7.0% within 6
months in the 4 categories were as follows: group A, B, C,
D = 51.4%, 46.3%, 41.4%, 42.9%, respectively.
Conclusions: Patients who participated in DEP achieved good
glycemic control irrespective of any category of individual
goal in life.
PG-19
Efforts to improve the enrollment of education and quality of
care in type 2 diabetes: experience of a community hospital
Cheng-Yang HSIEH1*, Yi-Lin HSIEH2, Su-Yu HUANG2,
Hsiu-Chuan LU2, Tzu-Ping FANG 2, Hsi-Jung HOU2,
Tung-Pi WU3. 1Department of Neurology, Tainan Sin Lau Hospital,
2Community Health Center, Tainan Sin Lau Hospital,
3Superintendent’s Office, Tainan Sin Lau Hospital, Tainan, Taiwan
Background: Although an educational programmay be helpful
for disease management and quality of care for type 2 diabetes
mellitus, the enrollment rate of our patients into such a
program was less satisfactory.
Purpose: To determine whether a multi-discipline approach
could improve the enrollment rate of education and quality of
care for patients with type 2 diabetes mellitus in a community
hospital.
Methods: After H2 of 2014, we initiated several strategies
focusing on patients and health care providers to increase
enrollment. Eligible but not enrolled diabetic patients were
informed for our education program through visual teaching
materials and direct telephone contact. Lists of potentially
eligible patients were also pre-notified to the nurses and
physicians before the start of outpatient clinic. We chose
four process indicators including the completeness of urine
albumin/creatinine ratio (UACR), fundoscopy, blood LDL-c and
HbA1c tests, and three outcome indicators including rate of
HbA1c < 7%, BP < 140/90 mmHg, and LDL-c < 100 mg/dL, before
and after the implementation of our quality improvement
strategies (H1 of 2015 vs. H1 of 2014).
Results: The enrollment rate was higher in the H1 of 2015 than
in the H1 of 2013 (42.3% vs. 35.4%, p < 0.001). The process
indicators also improved for the completeness of UACR (45.8%
vs. 41.5%, p < 0.001), fundoscopy (30.4% vs. 28.4, p = 0.025),
LDL-c (67.6% vs. 64.6%, p = 0.001), and HbA1c (86.9% vs. 82.6%,
p < 0.001). Quality indicators of diabetes care also improved for
the rate of HbA1c < 7% (48.4% vs. 43.1%, p < 0.001), BP < 140/
90 mmHg (11.9% vs. 10.9%, p = 0.048), and LDL-c < 100 mg/dL
(67.2% vs. 61.8%, p < 0.001).
Conclusion: Our multi-discipline strategies improved both the
enrollment rate and quality of care for patients with type 2
diabetes. Further study is needed to determine whether
such improvement could maintain thereafter.
PG-20
Effectiveness of the food craving management tool in Korean
adolescents
Sun-Young LIM1, Jin-Hee LEE1, Hae-Kyung YANG2,
Cho-Eun CHUNG2, Borami KANG2, Eun Young LEE2,
Yeoree YANG2, Kun-Ho YOON 1,2*. 1Catholic Institute of
U-Healthcare, The Catholic University of Korea, 2Department of
Poster Presentations / Diabetes Research and Clinical Practice 120S1 (2016) S65–S211 S165