Department of Diabetes and Endocrinology, Lancashire Teaching Hospitals NHS Trust, Royal Preston Hospital, Preston, London, UK.
J Diabetes. 2012 Jun;4(2):186-90. doi: 10.1111/j.1753-0407.2011.00178.x.
Education is one of the pivotal aspects of diabetes care. The impact of education has been found to be efficacious in the short term, but tends to lose efficacy in the long term. The hypothesis tested here was that one-to-one education would confer knowledge that would be reflected in metabolic improvement in this group of participants with diabetes.
Thirty-nine patients with type 2 diabetes mellitus and poor diabetes control attended a one-to-one diabetic and dietetic education session with a diabetic specialist nurse and a diabetes specialist dieticican. Glycemic control was assessed by measuring serum glycosolated hemoglobin (Hb(A1c)) measurements before the session and at 6 and 12 months afterwards.
The Hb(A1c) levels fell significantly in the whole group to 8.0 ± 0.5% (P < 0.05) at 6 months and to 8.3 ± 0.7% (P < 0.05) at the final visit from a baseline of 9.2 ± 0.5%. Compared to female patients, male patients had a similar drop in Hb(A1c) at 6 months of 1.1%, which persisted until the final visit, when the drop was -1.3% vs 0.3% (P < 0.05).
A single episode of one-to-one diabetic and dietetic education to subjects with poor diabetic control is effective in improving short- and long-term diabetic control for up to 1 year. Male patients were found to have a better response than female patients.
教育是糖尿病护理的关键环节之一。研究发现，教育在短期内是有效的，但在长期内效果往往会减弱。本研究旨在验证一对一的教育是否能够为患者带来知识上的提升，并反映在代谢改善上。
39 名 2 型糖尿病患者血糖控制不佳，参加了由糖尿病专科护士和营养师进行的一对一糖尿病和饮食教育课程。在课程前、6 个月和 12 个月时，通过测量血清糖化血红蛋白（HbA1c）来评估血糖控制情况。
整个组的 HbA1c 水平显著下降，从基线的 9.2 ± 0.5%降至 6 个月时的 8.0 ± 0.5%（P < 0.05）和 12 个月时的 8.3 ± 0.7%（P < 0.05）。与女性患者相比，男性患者在 6 个月时 HbA1c 下降了 1.1%，这一趋势一直持续到最后一次就诊，下降幅度为-1.3%，而女性患者为 0.3%（P < 0.05）。
单次的一对一糖尿病和饮食教育对血糖控制不佳的患者在短期和长期内均有效，可改善血糖控制，效果可持续 1 年。男性患者的反应优于女性患者。
