Bradshaw Beverly G, Richardson Glenn E, Kumpfer Karol, Carlson Joseph, Stanchfield John, Overall James, Brooks Ann Marie, Kulkarni Karmeen
St Marks Diabetes Center, St Marks Hospital, Salt Lake City, Utah, and the University of Utah, Health Sciences Center, College of Health, Salt Lake City
Diabetes Educ. 2007 Jul-Aug;33(4):650-9. doi: 10.1177/0145721707303809.
The purpose of this randomized clinical study was to test the efficacy of a resiliency training approach for people with diabetes who have previously received standard diabetes self-education.
A single-blinded, randomized design was employed with repeated measures (baseline, 3 months, 6 months) with 67 participants assigned to either treatment as usual (n = 37) or the resiliency classes (n = 30). Outcome variables included physiological measures (glycosylated hemoglobin, waist measurement, eating and exercise habits) and psychosocial measures (self-efficacy, locus of control, social support, and purpose in life).
Analyses of variance indicated that the intervention group had higher levels of resiliency as reported by knowing positive ways of coping with diabetes-related stress, knowing enough about themselves to make right diabetes choices, having fun in life, eating healthier, and increasing physical activity compared with the control group at 3 months (P < .05). Glycosylated hemoglobin and waist measurement improved but not significantly.
Interventions to foster resilience among people with diabetes have the potential to make an important contribution to increasing positive life outcomes. Diabetes educators using the resiliency approach in tandem with standard diabetes education programs can assist their patients to become more self-directed in their diabetes care.
这项随机临床研究的目的是测试一种复原力训练方法对先前已接受标准糖尿病自我教育的糖尿病患者的疗效。
采用单盲随机设计，并进行重复测量（基线、3个月、6个月），67名参与者被分配到常规治疗组（n = 37）或复原力课程组（n = 30）。结果变量包括生理指标（糖化血红蛋白、腰围、饮食和运动习惯）以及心理社会指标（自我效能感、控制点、社会支持和生活目的）。
方差分析表明，与对照组相比，干预组在3个月时报告的复原力水平更高，具体表现为了解应对糖尿病相关压力的积极方法、对自己有足够了解以做出正确的糖尿病选择、在生活中享受乐趣、饮食更健康以及增加身体活动（P <.05）。糖化血红蛋白和腰围有所改善，但不显著。
培养糖尿病患者复原力的干预措施有可能对增加积极的生活结果做出重要贡献。糖尿病教育工作者将复原力方法与标准糖尿病教育计划结合使用，可以帮助他们的患者在糖尿病护理中更加自主。
