心理教育小组有助于在初级保健环境中控制2型糖尿病。

Psychoeducative groups help control type 2 diabetes in a primary care setting.

作者信息

Cervantes Cuesta Miguel Ángel, García-Talavera Espín Noelia Victoria, Brotons Román Josefa, Núñez Sánchez M Ángeles, Brocal Ibáñez Pedro, Villalba Martín Pilar, Saura García Carmen, Sánchez Esteban Tomasa, Romero López-Reinoso Helena, Delgado Aroca Ma José, Sánchez Gil Dolores, Meoro Avilés Amparo, Soriano Palao José

机构信息

Primary Care centre, Murcia, Spain.

出版信息

Nutr Hosp. 2013 Mar-Apr;28(2):497-505. doi: 10.3305/nh.2013.28.2.6063.

DOI:10.3305/nh.2013.28.2.6063

PMID:23822704

Abstract

INTRODUCTION

The purpose of this study is to measure the impact of a psychoeducational group intervention in diabetes using glycosylated haemoglobin (HbA1c), the body mass index (BMI) and cardiovascular risk factors (CVRF) compared with conventional educational measures provided individually.

METHODS

A quasi-experimental study (pre/post-intervention) with a non-equivalent control group was conducted, including 72 type 2 individuals with diabetes (mean data: age 63.08 years, HbA1C 6.98%, BMI 30.48 kg/m2).The beneficial effect of psychoeducational group therapy in the study group (PGT) was compared with conventional diabetes education in the control group (CG).

RESULTS

The PGT had a higher mean HbA1c reduction (-0.51 ± 1.7 vs. -0.06 ± 0.53%, p 0.003), met the objectives of optimal control of HbA1c to a higher degree (80% vs. 48%, p 0.005) and greater mean weight reduction (-1.93 ± 3.57 vs. 0.52 ± 1.73 kg, p 0002) than the CG.A significant improvement in total cholesterol, LDL cholesterol, triglycerides, systolic and diastolic blood pressure was achieved in PGT (all p < 0.05).

CONCLUSIONS

PGT patients achieved a significant improvement in HbA1C, BMI and CVRF, and outperformed the conventional diabetes education group in achieving the optimal diabetes control objectives. Structural changes in the assistance programs should be considered to introduce these more efficient therapies for diabetes education in primary care.

摘要

引言

本研究旨在通过糖化血红蛋白（HbA1c）、体重指数（BMI）和心血管危险因素（CVRF）来衡量心理教育团体干预对糖尿病的影响，并与单独提供的传统教育措施进行比较。

方法

进行了一项非等效对照组的准实验研究（干预前/后），纳入72名2型糖尿病患者（平均数据：年龄63.08岁，HbA1C 6.98%，BMI 30.48kg/m²）。将研究组（PGT）中心理教育团体治疗的有益效果与对照组（CG）中的传统糖尿病教育进行比较。

结果

PGT组的平均HbA1c降低幅度更大（-0.51±1.7 vs. -0.06±0.53%，p = 0.003），在更高程度上达到了HbA1c最佳控制目标（80% vs. 48%，p = 0.005），平均体重减轻更多（-1.93±3.57 vs. 0.52±1.73kg，p = 0.002）。PGT组的总胆固醇、低密度脂蛋白胆固醇、甘油三酯、收缩压和舒张压均有显著改善（均p < 0.05）。