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2型糖尿病患者代谢控制指标的赋权模型评估:一项随机临床试验研究

Evaluation of empowerment model on indicators of metabolic control in patients with type 2 diabetes, a randomized clinical trial study.

作者信息

Ebrahimi Hossein, Sadeghi Mahdi, Amanpour Farzaneh, Vahedi Hamid

机构信息

Center for Health-Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.

School of Nursing & Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

Prim Care Diabetes. 2016 Apr;10(2):129-35. doi: 10.1016/j.pcd.2015.09.003. Epub 2016 Jan 18.

Abstract

AIMS

Diabetes education is a major subject in achieving optimal glycemic control. Effective empowerment approach can be beneficial for improving patients' health. The aim of this study was to evaluate the effect of empowerment model on indicators of metabolic control in patients with type 2 diabetes.

METHODS

a randomized controlled trial of 103 patients with type 2 diabetes were randomly assigned to either the intervention (empowerment approach training) or the control group (conventional training) 2014. Empowerment approach training were performed for the experimental group for eight weeks. Data collection tool included demographic information form and indicators of metabolic control checklist. Analysis was performed by one-way analysis of variance, chi-square test, paired t-test, independent t-test and multiple linear regression.

RESULTS

Before the intervention, two groups were homogeneous in terms of demographic variables, glycosylated hemoglobin (HbA1C), and other indicators of metabolic control. After the intervention, average HbA1C and other metabolic indicators except for LDL showed significant differences in the experimental group compared to the control group.

CONCLUSION

study results indicated the positive effects of applying the empowerment model on the metabolic control indicators. Therefore, applying this model is recommended to nurses and the relevant authorities in order to improve clinical outcomes in diabetic patients.

摘要

目的

糖尿病教育是实现最佳血糖控制的一个主要课题。有效的赋权方法有助于改善患者健康。本研究旨在评估赋权模式对2型糖尿病患者代谢控制指标的影响。

方法

2014年,一项针对103例2型糖尿病患者的随机对照试验,将患者随机分为干预组(赋权方法培训)或对照组(传统培训)。对实验组进行为期八周的赋权方法培训。数据收集工具包括人口统计学信息表和代谢控制指标清单。采用单因素方差分析、卡方检验、配对t检验、独立t检验和多元线性回归进行分析。

结果

干预前,两组在人口统计学变量、糖化血红蛋白(HbA1C)和其他代谢控制指标方面具有同质性。干预后,与对照组相比,实验组的平均HbA1C和除低密度脂蛋白外的其他代谢指标显示出显著差异。

结论

研究结果表明应用赋权模式对代谢控制指标有积极影响。因此,建议护士和相关部门应用该模式,以改善糖尿病患者的临床结局。

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