Department of Endocrinology, Peking University First Hospital, Beijing 100034, China.
Chin Med J (Engl). 2012 Dec;125(23):4175-80.
Diabetes management could be improved by diabetes education, through influencing attitudes towards diabetes, knowledge and behaviors of patients. The purpose of this study was to characterize the impact of diabetes education on glycemic control, and to assess the attitude, knowledge and self-care behavior in patients with type 2 diabetes in China.
This questionnaire-based survey was conducted in 50 medical centers across China from April to July of 2010. The patients with type 2 diabetes were eligible for the study. The information of glycemic control and diabetes education was collected. The diabetes attitude scale-3 formulae, a questionnaire of diabetes knowledge and Summary of Diabetes Self-care Activities scale were used to assess attitude, knowledge and the self-care of patients, respectively.
Among the 5961 eligible respondents (3233 males; mean age (59.50 ± 12.48) years; mean hemoglobin A1c (HbA1c) (8.27 ± 2.23)%), most patients (79.8%) considered themselves educated on diabetes. Compared with patients without diabetes education, their educated counterparts showed significant lower value of HbA1c, after controlling for age, gender, body mass index and duration of diabetes (P < 0.01). The patients who received diabetes education also performed significant higher scores on attitude, knowledge and self-care than their uneducated counterparts. Patients with lower income or education level tended to have higher glucose levels, and showed lower percentage of patients received diabetic education.
Chinese patients with diabetes education achieved better glycemic control than un-educated patients. Our study indicates effort is required to provide professional education to patients, with emphasis on lower income and lower education level populations.
糖尿病教育可以通过影响患者对糖尿病的态度、知识和行为来改善糖尿病管理。本研究的目的是描述糖尿病教育对血糖控制的影响，并评估中国 2 型糖尿病患者的态度、知识和自我护理行为。
本研究于 2010 年 4 月至 7 月在中国 50 家医疗中心进行了一项基于问卷的调查。符合条件的研究对象为 2 型糖尿病患者。收集了血糖控制和糖尿病教育的信息。采用糖尿病态度量表-3 公式、糖尿病知识问卷和糖尿病自我护理活动总结量表分别评估患者的态度、知识和自我护理情况。
在 5961 名合格的受访者中（男性 3233 名；平均年龄（59.50 ± 12.48）岁；平均糖化血红蛋白（HbA1c）（8.27 ± 2.23）%），大多数患者（79.8%）认为自己接受过糖尿病教育。与未接受糖尿病教育的患者相比，在校正年龄、性别、体重指数和糖尿病病程后，接受过糖尿病教育的患者 HbA1c 值显著更低（P < 0.01）。接受过糖尿病教育的患者在态度、知识和自我护理方面的得分也显著高于未接受教育的患者。收入或教育程度较低的患者血糖水平较高，接受糖尿病教育的患者比例较低。
接受糖尿病教育的中国糖尿病患者血糖控制优于未接受教育的患者。我们的研究表明，需要努力为患者提供专业教育，重点关注低收入和低教育水平人群。
