Type 2 diabetes, acute coronary syndrome, self-management, self-efficacy Primary care
Conditions
Interventions
A diabetes nurse, trained for this project, visits the patients three times at home:
1. Within three weeks after discharge from the hospital
2. Two weeks after the first home visit
3. Two months after the second home visit.
During the home visits, the following subjects will be discussed:
A. Illness perception, guided by the completed IPQ-R (Revised Illness perception question
B. The role of DM2 in the aetiology of the cardiac event
C. Nutrition/diet
D. What to do and not to do regarding sexuality and other physical activity
E. Pharmacotherapy. Treatment may be already very complicated in DM2 patients. When the disease is complicated by a cardiac event, pharmacotherapy may even become more complicated
F. Agreements on the control scheme with different health care providers. After a cardiac event, DM2 patients sometimes skip their controls at the general practice because they think the controls at t
Sponsors
UMC Utrecht, Julius Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. DM2 patients; 2. At time of inclusion in the hospital or very recently dismissed from the hospital after their first ACS; 3. Sufficient knowledge of the Dutch language.
Exclusion criteria
Exclusion criteria: 1. Not speaking or understanding the Dutch language; 2. Not able to fill in questionnaires.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health-related QOL, both generic and diabetes-specific. This will be measured as diabetes distress and well-being. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Depression; 2. Self-management behaviour; 3. HbA1c% and exercise; 4. Self-efficacy; 5. Illness perception; 6. Medication adherence. | — |
Contacts
Public ContactM.J. Kasteleyn
STR 6.131 Postbus 85500
Outcome results
None listed