Llamas Urrutia Carmen, Martí Jubillá Ramón, Baltasar Massip Enric, Ares Carceller Carmen, García Espinoso Rafael, Esteruelas Forcadas Georgina
Rev Enferm. 2002 Oct;25(10):14-8.
What is considered to be the best metabolic self-control method among diabetic patients is to practice capillary glycemia. Nonetheless, the inappropriate use of reactive strips leads to an increase in expenses without preventing complications. Therefore, the authors want to find out if patients make an appropriate use of these strips; to evaluate whether or not a health education training program optimises their use and if it improves metabolic control; and to check to see if their effects last over time when patients stop using them. As a result, the authors carried out a longitudinal intervention study without a random selection; this study was carried out in a urban primary health care unit. The subjects were 267 type 2 diabetes sufferers who were under pharmaceutical treatment and a self-control method. There were 3 periods to compare the use of strips and metabolic control methods: 1) initial consumption level measurement during which reactive strips were dispensed upon demand, 2) dispensing strips after some health education training program, and 3) dispensing strips without any educational training program. The authors conclude that the health education training program carried out by nurses is effective because it optimises the consumption of reactive strips while maintaining a stable metabolic control. The authors presenting their findings orally at the 10th "FEAED" National Congress.
在糖尿病患者中，被认为是最佳代谢自我控制方法的是进行毛细血管血糖监测。然而，反应试纸的不当使用会导致费用增加，却无法预防并发症。因此，作者想要弄清楚患者是否正确使用了这些试纸；评估健康教育培训项目是否能优化其使用以及是否能改善代谢控制；并查看当患者停止使用试纸时，其效果是否能长期持续。结果，作者开展了一项非随机选择的纵向干预研究；该研究在一家城市初级卫生保健单位进行。研究对象是267名接受药物治疗并采用自我控制方法的2型糖尿病患者。有3个时期用于比较试纸的使用和代谢控制方法：1）初始消费水平测量期，在此期间按需发放反应试纸，2）在进行一些健康教育培训项目后发放试纸，3）不进行任何教育培训项目发放试纸。作者得出结论，护士开展的健康教育培训项目是有效的，因为它在维持稳定代谢控制的同时优化了反应试纸的使用。作者在第十届“FEAED”全国大会上口头介绍了他们的研究结果。
