Moattari Marzieh, Ghobadi Akram, Beigi Parvin, Pishdad Gholamreza
Fatemeh (PBUH) School of Nursing & Midwifery, Shiraz University of Medical Sciences, Zand blvd, Po, Box 71345-1359, 71936-13119, Shiraz, Iran.
J Diabetes Metab Disord. 2012 Aug 24;11(1):6. doi: 10.1186/2251-6581-11-6.
Patients with diabetes play an important role in management of their illness. They should be involved in the intervention program to be able to improve their quality of life. This study investigated the effect of a self-management program based on 5A (assess, advise, agree, assist, arrange) model on metabolic control indicators of diabetic patients.
In this randomized, controlled trial, 70 diabetic insulin dependent patients who referred to Nader Kazemi clinic in Shiraz participated. They were randomly assigned to two groups of experiment and control. Then a self-management program based on 5A model was performed for the experiment group during 3-mounths and the indicators of metabolic control including hemoglobin A1c, cholesterol, triglyceride and also body mass index were measured pre- and post- intervention in both groups. Data were analyzed using SPSS ver 11.5.
Data analysis revealed a significant reduction in mean fasting blood sugar (69 units) and HbA1c (1.16 units) in the experimental group . Pre- to post-changes in hemoglobin A1c, fasting blood sugar, and high density lipoprotein were significant between the two groups of study. However, there was no significant difference in cholesterol, triglyceride, low-density lipoprotein, and body mass index between the two groups.
Regarding the results, it can be concluded that a 3-month self-management program based on 5A model is effective in reducing the fasting blood sugar, hemoglobin A1c. Application of self management program based on 5A model in diabetic clinics is recommended.
糖尿病患者在其疾病管理中发挥着重要作用。他们应参与干预计划，以便能够改善生活质量。本研究调查了基于5A（评估、建议、商定、协助、安排）模式的自我管理计划对糖尿病患者代谢控制指标的影响。
在这项随机对照试验中，70名转诊至设拉子纳德·卡泽米诊所的胰岛素依赖型糖尿病患者参与其中。他们被随机分为实验组和对照组。然后在3个月内对实验组实施基于5A模式的自我管理计划，并在干预前后测量两组的代谢控制指标，包括糖化血红蛋白、胆固醇、甘油三酯以及体重指数。使用SPSS 11.5版软件对数据进行分析。
数据分析显示，实验组的平均空腹血糖（降低69个单位）和糖化血红蛋白（降低1.16个单位）显著下降。两组研究对象在糖化血红蛋白、空腹血糖和高密度脂蛋白的干预前后变化方面存在显著差异。然而，两组在胆固醇、甘油三酯、低密度脂蛋白和体重指数方面没有显著差异。
基于研究结果，可以得出结论，为期3个月的基于5A模式的自我管理计划在降低空腹血糖、糖化血红蛋白方面是有效的。建议在糖尿病诊所应用基于5A模式的自我管理计划。
