糖尿病知识与自我管理对2型糖尿病患者生理指标的影响

Diabetes knowledge and self-management effects on physiological outcomes in type 2 diabetes.

作者信息

Wang Christina M B, Inouye Jillian, Davis James, Wang Chen-Yen

机构信息

University of Hawaii at Manoa, Honolulu, HI.

出版信息

Nurs Forum. 2013 Oct-Dec;48(4):240-7. doi: 10.1111/nuf.12037. Epub 2013 Jul 31.

DOI:10.1111/nuf.12037

PMID:24188435

Abstract

PURPOSE

The purpose of this study was to determine whether Asian Pacific Islanders with type 2 diabetes who have better knowledge and self-management would have better baseline hemoglobin A1c (HbA1c) and total cholesterol values. Signicant relationships were found among (a) general diet on HbA1c (p < .030), (b) medications on HbA1c (< .009), and (c) diabetes knowledge on HbA1c (p < .001). Participants with active self-management regimens were expected to demonstrate better laboratory values than those who did not implement self-management. However, persons with knowledge may for other reasons still lack self-management.

PRACTICAL IMPLICATIONS

Future studies comparing baseline results to post-additional education sessions may yield better comparisons.

摘要

目的

本研究的目的是确定具有更好知识水平和自我管理能力的亚太岛民2型糖尿病患者是否具有更好的基线糖化血红蛋白（HbA1c）和总胆固醇值。研究发现：（a）总体饮食与HbA1c之间存在显著关系（p < .030），（b）药物治疗与HbA1c之间存在显著关系（p < .009），以及（c）糖尿病知识与HbA1c之间存在显著关系（p < .001）。预计采用积极自我管理方案的参与者比未实施自我管理的参与者具有更好的实验室检查值。然而，有知识的人可能由于其他原因仍然缺乏自我管理。