Gilden J L, Hendryx M S, Clar S, Casia C, Singh S P
Department of Medicine, University of Health Sciences, Chicago Medical School, IL 60064.
J Am Geriatr Soc. 1992 Feb;40(2):147-50. doi: 10.1111/j.1532-5415.1992.tb01935.x.
To assess whether knowledge or psychosocial and glycemic benefits of a diabetes education program are enhanced by a support group for older patients.
A partially randomized controlled trial involving two groups of patients: Group A, subjects who received an education program followed by 18 months of support group sessions; Group B, only the diabetes education program. A third convenience sample, Group C, received neither intervention. Groups A and B were assessed before and immediately after the education program, and all groups were assessed 2 years after the education program.
Diabetes clinic at a Veterans Affairs Medical Center.
All subjects were male (mean age = 68 +/- 1.3 years, range = 57-82 years; duration of diabetes = 10 +/- 2 years, range 3-16). Sample sizes were 11 in Group A, 13 in Group B, and 8 in Group C.
The education program consisted of six weekly sessions covering aspects of diabetes self-care. The support group consisted of 18 monthly sessions for continuing education, discussion, and structured social activities.
Diabetes knowledge, psychosocial factors (self-care-related quality of life, stress, family involvement in care, and social involvement), depression, and glycemic control.
Group A scored better (at least P less than 0.05) on knowledge, quality of life, and depression than the other groups. Groups A and B showed less stress, greater family involvement, better glycemic control, but less involvement in social activities than Group C.
Diabetes education programs can have long term benefits on knowledge, psychosocial functioning, and glycemic control for older diabetic patients. The addition of support groups enhances diabetes knowledge and psychosocial functioning.
评估老年患者支持小组是否能增强糖尿病教育项目的知识传授效果以及心理社会和血糖方面的益处。
一项部分随机对照试验，涉及两组患者：A组，接受教育项目并随后参加18个月支持小组会议的受试者；B组，仅接受糖尿病教育项目。第三个便利样本C组，未接受任何干预。A组和B组在教育项目之前和之后立即进行评估，所有组在教育项目2年后进行评估。
退伍军人事务医疗中心的糖尿病诊所。
所有受试者均为男性（平均年龄 = 68 ± 1.3岁，范围 = 57 - 82岁；糖尿病病程 = 10 ± 2年，范围3 - 16年）。A组样本量为11人，B组为13人，C组为8人。
教育项目包括为期六周的课程，涵盖糖尿病自我护理的各个方面。支持小组包括18次月度会议，用于继续教育、讨论和结构化社交活动。
糖尿病知识、心理社会因素（与自我护理相关的生活质量、压力、家庭参与护理情况和社会参与情况）、抑郁和血糖控制。
A组在知识、生活质量和抑郁方面的得分比其他组更高（至少P < 0.05）。A组和B组的压力较小、家庭参与度更高、血糖控制更好，但与C组相比，社会活动参与度较低。
糖尿病教育项目对老年糖尿病患者的知识、心理社会功能和血糖控制具有长期益处。增加支持小组可增强糖尿病知识和心理社会功能。
