The change from the traditional passive care and support of patient management to the use
of telehealth was effective and led to 97 percent adherence to SBMG guidelines. For instance,
whenever some patients received the follow-up call, they confirmed forgetting to do the blood
glucose level monitoring, but did it at once and sent their readings and the actions taken to the
follow-up nursing system. The process also improved adherence levels, even when the nurses did
not follow-up, as many patients remembered and sent in their levels before the follow-up time.
The nursing change process evidence is in line with previous research, including Lee, Greenfield
and Pappas (2018) and Huang et al. (2015), which note the value of telehealth in diabetic patient
management.
DECISION MAKING ON PROCEDURE/ PRACTICE MODIFICATION
5
References
Alqarni, A.M., Alrahbeni, T., Al Qarni, A., & Al Qarni, H.M. (2019). Adherence to diabetes
medication among diabetic patients in the Bisha governorate of Saudi Arabia – a cross-
sectional survey.
Patient Prefer Adherence
, 13, 63-71.
Huang, Z., Tao, H., Meng, Q., & Jing, L. (2015). Effects of telecare intervention on glycemic
control in type 2 diabetes: a systematic review and meta-analysis of randomized
controlled trials.
Eur J Endocrinol
., 172(3), R93–101.
Lee, P.A., Greenfield, G., & Pappas, Y. (2018). The impact of telehealth remote patient
monitoring on glycemic control in type 2 diabetes: a systematic review and meta-analysis
of systematic reviews of randomised controlled trials.
BMC Health Services Research
,
18(495), 1-10.
