The purpose of the study was to examine the effects of nurse-coordinated telephone monitoring among community-dwelling older adults with type 2 diabetes. In a randomized controlled trial 28 participants (aged 65-84yrs) with type 2 diabetes living in Southeastern Ontario were randomly assigned to an intervention group (15) and control group (13). The intervention group received weekly nurse-coordinated telephone monitoring and the control group received usual care from their family doctor. The main outcome measures were depression and diabetes-related stress as measured by measured by the Geriatric Depression Scale (GDS) and the Problem Areas In Diabetes (PAID) questionnaire at baseline and 12-weeks. All participants completed the study. At 12 weeks, mean scores for the intervention group were significantly lower for the GDS (p = .00) and the PAID (p = .03). Participants were receptive to the intervention. Nurse telephone monitoring may decrease depressive symptoms and diabetes-related stress among community-dwelling older adults. / Thesis (Master, Nursing) -- Queen's University, 2007-08-08 14:30:24.945

Emotionella reaktioner bidrar till kroppsligt stresspåslag vilketpåverkar blodsockernivåerna. Syftet med studien var att undersökaskillnaden i tillämpning av kognitiv omstrukturering bland typ1-diabetiker vid lågt respektive högt blodsocker samt skillnaden itillämpningen beroende på antal år av sjukdomen(sjukdomsförloppet). Vi undersökte även sambandet mellan kognitivomstruktureringen och diabetesrelaterad stress generellt och vid lågtoch högt blodsocker. En enkätundersökning genomfördes därdeltagarna (N = 69) fick besvara frågor om kognitiv omstruktureringvid antingen lågt eller högt blodsocker samt diabetesrelaterad stress.Resultaten visade att det inte fanns en skillnad i tillämpning avkognitiv omstrukturering vid lågt respektive högt blodsocker eller vidsjukdomsförloppet. Resultatet visade inget samband mellan kognitivomstrukturering och diabetesrelaterad stress generellt eller vid lågtoch högt blodsocker. Sammanfattningsvis påvisar studien attdiabetiker tillämpar kognitiv omstrukturering i låg utsträckningoavsett blodsockernivå och sjukdomsförlopp samt upplevde högdiabetesrelaterad stress. / Emotional reaction contributes bodily stress, which affects bloodsugar levels. This study examined differences in application ofcognitive restructuring among type 1-diabetics in low and high bloodsugar and the differences in application depending on the number ofyears with disease (disease course). We examined the relationshipbetween cognitive restructuring and diabetes-related distress ingeneral and low and high blood sugar. A survey conducted in whichparticipants (N = 69) answered questions about cognitiverestructuring in low or high blood sugar and diabetes-relateddistress. Results showed no difference in application of cognitiverestructuring in low and high blood sugar or in disease course.Results showed no connection between cognitive restructuring anddiabetes-related distress in general or in low and high blood sugar.Thus, this study shows that diabetics applied cognitive restructuringto a low extent regardless of blood sugar levels, disease course andexperienced high diabetes-related distress.