Naccashian Zarmine
Department of Nursing, California State University Northridge, Northridge, California (Dr Naccashian)
Diabetes Educ. 2014 Sep-Oct;40(5):638-47. doi: 10.1177/0145721714535993. Epub 2014 May 28.
The purpose of this study was to investigate the impact of diabetes self-management education on glycemic control and perceptions of empowerment in Armenian American immigrants diagnosed with type 2 diabetes.
A quasi-experimental pre and post design was used to investigate the impact of using education on self-management as measured by A1C levels and empowerment scores. Nine hours of diabetes self-management education classes were offered in the Armenian language to 75 clients at 2 adult health day care centers over 6 weeks. The participants were mostly first-generation Armenian immigrants aged 65 years and older. A1C results, the 8-item Diabetes Empowerment Scale (DES), and the 15-item Armenian Ethnic Orientation Questionnaire-Revised (AEOQ-R) were used to determine the impact of education on self-care management.
After institutional review board approval was obtained, 75 participants completed the study. A paired t test indicated that the postintervention mean A1C level was significantly lower than the preintervention mean A1C level. The postintervention mean DES score was significantly greater than the preintervention mean DES score. No mediating effects of age, gender, acculturation, and number of years with the disease were identified for either A1C or DES score.
The findings demonstrate the efficacy of the diabetes self-management education classes in improving diabetes self-care management skills.
本研究旨在调查糖尿病自我管理教育对被诊断为2型糖尿病的亚美尼亚裔美国移民的血糖控制及自我效能感认知的影响。
采用准实验前后设计，以糖化血红蛋白（A1C）水平和自我效能感得分来衡量自我管理教育的影响。在6周内，用亚美尼亚语为2家成人健康日托中心的75名客户提供了9小时的糖尿病自我管理教育课程。参与者大多是65岁及以上的第一代亚美尼亚移民。使用A1C结果、8项糖尿病自我效能量表（DES）和15项修订后的亚美尼亚族裔取向问卷（AEOQ-R）来确定教育对自我护理管理的影响。
在获得机构审查委员会批准后，75名参与者完成了研究。配对t检验表明，干预后平均A1C水平显著低于干预前平均A1C水平。干预后平均DES得分显著高于干预前平均DES得分。未发现年龄、性别、文化适应程度和患病年限对A1C或DES得分有中介作用。
研究结果证明了糖尿病自我管理教育课程在提高糖尿病自我护理管理技能方面的有效性。
