Torres Heloisa de Carvalho, Franco Laercio Joel, Stradioto Mayra Alves, Hortale Virginia Alonso, Schall Virginia Torres
Departamento de Enfermagem Aplicada, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Saude Publica. 2009 Apr;43(2):291-8. Epub 2009 Feb 13.
To compare the effectiveness of individual and group strategies in a diabetes education program.
A total of 104 type-2 diabetes outpatients enrolled in an education program of a teaching hospital in Belo Horizonte, Southeastern Brazil, were randomly selected and assigned to two different education strategies: group education (54 subjects) and individual education (50 subjects). Group education comprised three monthly sessions, which involved play and interactive dynamics. In parallel, a second group received individual education. Subjects were follow up for six months during 2006 and they were evaluated using specific questionnaires: knowledge of diabetes, psychological attitudes, change in behavior, quality of life. Clinical evaluation was performed at baseline, three and six months of intervention.
Mean age was 60.6 years. The results of group and individual education were similar in the assessment tests of attitude, change of behavior and quality of life. A reduction in HbA1c levels was seen in both groups, but a statistically significant difference (p=0.012) was found only in the group education.
Both strategies of diabetes education were effective, however, group education was more effective than individual education for blood glucose control.
比较糖尿病教育项目中个体策略和小组策略的有效性。
从巴西东南部贝洛奥里藏特一家教学医院的糖尿病教育项目中随机选取104名2型糖尿病门诊患者，并将其分为两种不同的教育策略组：小组教育（54名受试者）和个体教育（50名受试者）。小组教育包括每月三次课程，涉及游戏和互动活动。同时，另一组接受个体教育。在2006年期间对受试者进行了为期六个月的随访，并使用特定问卷对他们进行评估：糖尿病知识、心理态度、行为变化、生活质量。在干预的基线、三个月和六个月时进行临床评估。
平均年龄为60.6岁。在态度、行为变化和生活质量的评估测试中，小组教育和个体教育的结果相似。两组的糖化血红蛋白水平均有所降低，但仅在小组教育中发现有统计学意义的差异（p = 0.012）。
两种糖尿病教育策略均有效，然而，在血糖控制方面，小组教育比个体教育更有效。
