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“对话地图™”工具对西班牙2型糖尿病患者糖尿病认知的影响:一项随机对照研究。

Impact of the «Conversation Map™» tools on understanding of diabetes by Spanish patients with type 2 diabetes mellitus: a randomized, comparative study.

作者信息

Penalba Maite, Moreno Luis, Cobo Amelia, Reviriego Jesús, Rodríguez Angel, Cleall Simon, Reaney Matthew

机构信息

Servicio de Endocrinología y Nutrición. Hospital Universitari i Politècnic La Fe, Valencia, España.

Unidad de Gestión Clínica de Endocrinología y Nutrición, Hospital Universitario Virgen de la Victoria, Málaga, España.

出版信息

Endocrinol Nutr. 2014 Dec;61(10):505-15. doi: 10.1016/j.endonu.2014.06.001. Epub 2014 Jul 30.

Abstract

BACKGROUND AND AIM

This paper presents results from the Spanish subpopulation of a study comparing Conversation Maps™ (CM)-based education with regular care (RC) in type 2 diabetes mellitus (T2DM).

PATIENTS AND METHODS

Adult patients with T2DM who were considered as not demonstrating ideal disease management were randomly assigned to CM or RC with assessments following (Visit 2), and at follow-up 6 months after (Visit 3), the final CM session. The primary endpoint was diabetes knowledge at Visit 3.

RESULTS

310 patients were randomised to receive CM education (n=148) or RC (n=162). Median knowledge scores were ranked significantly higher in the CM group than the RC group at Visit 2 and Visit 3 (p<0.001). No significant differences in clinical and other outcomes were identified between the interventions, except satisfaction with care (p<0.001, Visit 2; p=0.055, Visit 3) and perception of goal attainment (p<0.001 and p = 0.046, respectively) that were both higher in the CM group.

CONCLUSIONS

In these patients from Spain, CM was superior to RC in terms of diabetes knowledge 6 months after education was completed, suggesting that CM should be considered for use in patients requiring diabetes education.

摘要

背景与目的

本文展示了一项研究中西班牙亚组的研究结果,该研究比较了基于对话地图(Conversation Maps™,CM)的教育与常规护理(regular care,RC)在2型糖尿病(T2DM)中的效果。

患者与方法

将被认为未展现出理想疾病管理的成年T2DM患者随机分配至CM组或RC组,在(第2次就诊)后进行评估,并在最后一次CM课程结束6个月后的随访(第3次就诊)时进行评估。主要终点是第3次就诊时的糖尿病知识。

结果

310例患者被随机分配接受CM教育(n = 148)或RC(n = 162)。在第2次和第3次就诊时,CM组的中位知识得分显著高于RC组(p < 0.001)。除了护理满意度(第2次就诊时p < 0.001;第3次就诊时p = 0.055)和目标达成感(分别为p < 0.001和p = 0.046)在CM组中更高外,干预措施之间在临床和其他结局方面未发现显著差异。

结论

在这些来自西班牙的患者中,完成教育6个月后,CM在糖尿病知识方面优于RC,这表明对于需要糖尿病教育的患者应考虑使用CM。

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