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[个性化糖尿病教育对血糖控制和自我护理的影响]

[The effects of tailored diabetes education on blood glucose control and self-care].

作者信息

Hyun Kyung Sun, Kim Kwang Mi, Jang Sook Hee

机构信息

College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

出版信息

J Korean Acad Nurs. 2009 Oct;39(5):720-30. doi: 10.4040/jkan.2009.39.5.720.

Abstract

PURPOSE

The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and self-care for patients with type 2 diabetes on insulin therapy.

METHODS

The participants were 60 patients (experimental group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group diabetic education only was given to the control group. Data were collected before and three months after the education. X(2) test, t-test, and ANCOVA were used to analyze the data.

RESULTS

No significant differences in postprandial (PP2hrs) glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to those in the control group.

CONCLUSION

The results indicate that tailored education for patients with diabetes on insulin therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored education can be applied in diabetic education to improve self-care.

摘要

目的

本研究旨在测试针对接受胰岛素治疗的2型糖尿病患者的个性化糖尿病教育对血糖控制和自我护理的影响。

方法

参与者为60例接受胰岛素治疗的2型糖尿病患者(实验组:30例,对照组:30例)。这些患者在韩国首尔的一家大学医院就诊。实验组接受小组糖尿病教育和个性化糖尿病教育,而对照组仅接受小组糖尿病教育。在教育前和教育后三个月收集数据。采用X(2)检验、t检验和协方差分析来分析数据。

结果

两组之间餐后(PP2小时)血糖和糖化血红蛋白水平无显著差异。与对照组相比,实验组参与者在自我血糖检测、胰岛素注射管理和生活方式改变方面显示出统计学上的显著差异。

结论

结果表明,针对接受胰岛素治疗的糖尿病患者的个性化教育可改善自我血糖检测、胰岛素注射管理和生活方式。因此,建议在糖尿病教育中应用个性化教育以改善自我护理。

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