A nurse-led collaborative care model in general practice: health related quality of life outcomes

Young, Jacqui, Eley, Diann, Patterson, Elizabeth and Fahey, Paul (2010). A nurse-led collaborative care model in general practice: health related quality of life outcomes. In: Australian Practice Nurses Association: Golden Opportunities, Gold Coast , QLD, Australia, (). 6-8 May 2010.

Author Young, Jacqui
Eley, Diann
Patterson, Elizabeth
Fahey, Paul
Title of paper A nurse-led collaborative care model in general practice: health related quality of life outcomes
Conference name Australian Practice Nurses Association: Golden Opportunities
Conference location Gold Coast , QLD, Australia
Conference dates 6-8 May 2010
Publication Year 2010
Sub-type Oral presentation
Abstract/Summary Introduction International studies have indicated that nurses working in general practice can effectively manage the care of patients with chronic diseases. Moreover, clinical outcomes and quality of life have been positively associated with nurse-led care of patients with diabetes and cardiovascular disease. Aim The aim of this study was to identify whether a nurse-led collaborative care model in the Australian general practice setting has an impact on the health and quality of life of patients with one or a combination of the following chronic diseases: type 2 diabetes, ischaemic heart disease and hypertension. This presentation will outline the results obtained from the SF-12® Health Survey administered to all patients enrolled in the study. Method Patients were randomised to either a usual care group (general practitioner-led) or intervention group (nurse-led). Two hundred and eighty six patients initially enrolled in the study with a 7% loss to follow-up. Throughout the 12 months of the intervention, demographic, clinical, and quality of life data were collected. The quality of life data was collected from the SF-12® Health Survey at the commencement of the intervention and again at the six-month time point and the completion of the intervention. The SF12® is a multipurpose survey with 12 questions which provide information regarding overall physical and mental health functioning. When analysed, the SF-12® provides two summary scales: the physical component summary (PCS) and the mental component summary (MCS). Results Age and disease related scores have been calculated both within the GP and PN groups in this study and compared to Australian norms. Results indicate little difference between the two groups in the PCS and MCS scales at the end of the intervention. Conclusion Chronic conditions can have a profound effect on the physical, psychological and social domains of health with consequences that can negatively affect quality of life. Health related quality of life is generally accepted as an important outcome measure of health care. Utilising the SF12® Health Survey can be a reliable indicator of health care interventions. The findings of this study suggest that the practice nurses successfully managed the care of patients with the identified chronic diseases throughout the one year intervention.
Subjects 11 Medical and Health Sciences
Keyword Nurse led care
General practice
Chronic (non-communicable) Disease
Q-Index Code EX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes APNA National Conference 2010 - Presentations

Document type: Conference Paper
Collections: Non HERDC
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Created: Thu, 24 Mar 2011, 12:50:38 EST by Dr Jacqui Young on behalf of School of Nursing, Midwifery and Social Work