Al Hayek Ayman A, Robert Asirvatham A, Al Dawish Mohamed A, Zamzami Marwan M, Sam Asirvatham E, Alzaid Aus A
Department of Diabetes and Endocrinology, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
J Family Community Med. 2013 May;20(2):77-82. doi: 10.4103/2230-8229.114766.
Diabetes mellitus (DM) requires continuous medical care, patients' self-management, education, and adherence to prescribed medication to reduce the risk of long-term complications. The aim of this study was to assess the benefits of an education program on diabetes, patient self-management, adherence to medication, anxiety, depression and glycemic control in type 2 diabetics in Saudi Arabia.
This was a prospective study, conducted among 104 diabetic patients at a major tertiary hospital in Riyadh, Saudi Arabia, between May 2011 and October 2012. Education materials given to diabetic patients included pamphlets/handouts written in Arabic, the national language. Special videotapes about DM were made and distributed to all participants. In addition, specific educational programs through the diabetes educators and one-on-one counseling sessions with the doctor were also arranged. Patients were interviewed using a structured interview schedule both during the baseline, and after 6 months of the program. The interview schedule included, socio-demographics, clinical characteristics, diabetes self-management, adherence to medication, anxiety, and depression. Glycemic control was considered poor, if hemoglobin A1c (HbA1c) was ≥ 7%.
The mean age of the study population was 57.3 ± 14.4 years. Seventy one were males (68.3%) and 33 (31.7%) were females. After six months of the diabetes education program, there were significant improvements in patients' dietary plan (P = 0.0001), physical exercise (P = 0.0001), self-monitoring of blood glucose (SMBG) (P = 0.0001), HbA1c (P = 0.04), adherence to medication (P = 0.007), and depression (P = 0.03).
Implementation of education programs on diabetes among type 2 diabetic patients is associated with better outcomes such as their dietary plan, physical exercise, SMBG, adherence to medication, HbA1c and depression.
糖尿病（DM）需要持续的医疗护理、患者的自我管理、教育以及坚持按处方用药，以降低长期并发症的风险。本研究的目的是评估一项糖尿病教育项目对沙特阿拉伯2型糖尿病患者的自我管理、用药依从性、焦虑、抑郁及血糖控制的益处。
这是一项前瞻性研究，于2011年5月至2012年10月在沙特阿拉伯利雅得一家大型三级医院的104名糖尿病患者中进行。提供给糖尿病患者的教育材料包括用阿拉伯语（国语）编写的宣传册/手册。制作了关于糖尿病的专门录像带并分发给所有参与者。此外，还安排了通过糖尿病教育者进行的特定教育项目以及与医生的一对一咨询。在基线期以及项目进行6个月后，使用结构化访谈时间表对患者进行访谈。访谈时间表包括社会人口统计学、临床特征、糖尿病自我管理、用药依从性、焦虑和抑郁。如果糖化血红蛋白（HbA1c）≥7%，则认为血糖控制不佳。
研究人群的平均年龄为57.3±14.4岁。71人为男性（68.3%），33人为女性（31.7%）。经过6个月的糖尿病教育项目后，患者的饮食计划（P = 0.0001）、体育锻炼（P = 0.0001）、血糖自我监测（SMBG）（P = 0.0001）、HbA1c（P = 0.04）、用药依从性（P = 0.007）和抑郁（P = 0.03）均有显著改善。
在2型糖尿病患者中实施糖尿病教育项目与更好的结果相关，如饮食计划、体育锻炼、SMBG、用药依从性、HbA1c和抑郁情况。
