Dept of Medicine, Northern Clinical Research Centre, Northern Health and The University of Melbourne, Melbourne, Australia.
Popul Health Manag. 2012 Jun;15(3):163-7. doi: 10.1089/pop.2011.0043. Epub 2012 Feb 21.
The Northern Health Diabetes Hospital Admission Risk Program is a chronic disease management program that aims to improve the glycemic management of patients with diabetes. The aim of this project was to determine if there was any relationship between psychological characteristics and glycemic outcome in a diabetes management program. A prospective study of patients attending the diabetes management program investigated validated measures of cognition, stage of change, locus of control, self-efficacy, depression and anxiety, and quality of life. The study investigated 86 type 2 diabetes patients (mean age 59 years, 49% female). Glycemic control (HbA1c) was measured at baseline and after 12 months in the program. Glycemic control was poor on admission to the service with a mean HbA1c of 8.9%. The measures of cognition, self-efficacy, locus of control, mental health, and quality of life were not associated with improvements in HbA1c. Those participants with shorter duration of disease and more contacts with the service were significantly more likely to experience improvements in HbA1c. Psychometric data were not predictive of glycemic outcome. Rather, in this chronic disease management program, glycemia improved more in patients who were seen earlier in their disease course and managed more intensively, regardless of their psychometric status.
北澳大利亚卫生署糖尿病住院风险项目是一个慢性病管理项目，旨在改善糖尿病患者的血糖管理。该项目旨在确定在糖尿病管理项目中，心理特征与血糖结果之间是否存在任何关系。一项对参加糖尿病管理项目的患者进行的前瞻性研究调查了认知、改变阶段、控制源、自我效能、抑郁和焦虑以及生活质量的验证性测量。该研究调查了 86 名 2 型糖尿病患者（平均年龄 59 岁，49%为女性）。在项目开始时和 12 个月后测量血糖控制（HbA1c）。服务入院时血糖控制较差，平均 HbA1c 为 8.9%。认知、自我效能、控制源、心理健康和生活质量测量与 HbA1c 的改善无关。疾病持续时间较短且与服务接触较多的参与者更有可能改善 HbA1c。心理测量数据不能预测血糖结果。相反，在这个慢性病管理项目中，无论心理测量状态如何，在疾病早期接受治疗且治疗更积极的患者血糖改善更多。
