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Full-Text Articles in Medicine and Health Sciences
Improving Insomnia With Digital Cognitive Behavioral Therapy In Patients With Diabetes, Patricia Lunardi
Improving Insomnia With Digital Cognitive Behavioral Therapy In Patients With Diabetes, Patricia Lunardi
Doctor of Nursing Practice (DNP) Projects
Background: Managing and treating insomnia in patients with diabetes mellitus requires the examination of current literature of evidence-based research implementing pharmacological and non-pharmacological interventions. This QI project focused on the implementation of Cognitive Behavioral Therapy for Insomnia (CBT-I). Purpose: The purpose of this project was to implement CBT-I in adult patients with diabetes mellitus (DM) and examined whether it alleviated their insomnia symptoms using the Pittsburg Sleep Quality Index (PSQI) tool. Methods: The study used a one-group pre-test and post-test intervention design; the intervention is a free application, “CBT-i Coach”. 20 participants were invited to participate from an Endocrinology …
Improving Latino Diabetes Patients' Physiologic Measurements Utilizing Culturally Competent Interventions, Christine Hoogasian
Improving Latino Diabetes Patients' Physiologic Measurements Utilizing Culturally Competent Interventions, Christine Hoogasian
Doctor of Nursing Practice (DNP) Projects
Latinos have a high risk of developing poorly controlled type 2 diabetes, which may be at least partly due to their cultural beliefs. Many health care clinics lack consistent use of culturally competent educational interventions when providing diabetes education to Latinos. The literature demonstrates that clinics using culturally competent interventions tend to accomplish significant clinical improvements in outcomes such as lower glycosylated hemoglobin (A1C) levels, weight loss, increase in daily steps walked, and improved diabetes knowledge. The purpose of this Doctorate of Nursing Practice (DNP) project was to use Latino-tailored culturally competent diabetes education to achieve a reduction in weight, …
Increasing Exercise For Patients With Diabetes Using A Mobile App – A Quality Improvement Project, Jill Jolin
Increasing Exercise For Patients With Diabetes Using A Mobile App – A Quality Improvement Project, Jill Jolin
Doctor of Nursing Practice (DNP) Projects
Background: A literature review on Type 2 Diabetes Mellitus (T2DM) indicates that a combination of aerobic and resistance exercise leads to overall beneficial physical and psychological health benefits for people that have a diagnosis of Diabetes. Behavior change and social support are identified as essential factors that facilitate and help maintain a productive and committed exercise program for people with Diabetes. Patient self-management is an important indicator in maintaining good control of diabetes, and mobile phone interventions have been shown to improve such self-management. Exercise is an important component of treatment, and prevention of T2DM although people struggle with incorporating …
Higher Fat Low Carbohydrate Diet To Improve Health Related Quality Of Life For Overweight Or Obese Diabetics In A Primary Care Clinic, Breck Baker
Doctor of Nursing Practice (DNP) Projects
Diabetes and obesity are chronic diseases that affect individuals worldwide. The American Diabetes Association (ADA) and the American Heart Association (AHA) have developed guidelines for management of diabetes and obesity. The DNP student examined the use of the Higher Fat Low Carbohydrate (HFLC) diet, which conflicts with these frequently used guidelines. The literature on a HFLC diet suggests positive effects for type 2 diabetics, including weight loss, improved HA1c, lower BMI and no detrimental impact on metabolic markers such as cholesterol, triglycerides, or low and high density lipoproteins. The purpose of this project was to provide type 2 diabetics who …