Sreedevi Aswathy, Unnikrishnan Ambika Gopalakrishnan, Karimassery Sundaram Ramaiyer, Deepak Kuttikattu Soman
Department of Community Medicine, Amrita Institute of Medical Sciences, Amrita University, Kochi, Kerala, India.
CEO, Chellaram Diabetes Institute, Pune, Maharashtra, India.
Indian J Endocrinol Metab. 2017 Jul-Aug;21(4):524-530. doi: 10.4103/ijem.IJEM_28_17.
This was an interventional study to understand the effect of two low-cost interventions; yoga and peer support on the quality of life (QOL) of women with type 2 diabetes.
An open label parallel three-armed randomized control trial was conducted among 124 recruited women with diabetes for 3 months. Block randomization with a block length of six was carried out. In the yoga arm, sessions by an instructor, consisting of a group of postures coordinated with breathing were conducted for an hour, 2 days a week. In the peer support arm, each peer mentor after training visited 13-14 women with diabetes every week followed by a phone call. The meeting was about applying disease management plans in daily life. At the beginning and end of the study, QOL was assessed by the translated, validated World Health Organization QOL-BREF in four domains physical, psychological, social, and environmental domains.
The majority (96%) of the study participants perceived the peer support and yoga intervention to be beneficial. Paired -test revealed significant increases in the social and environmental domain in the peer group and in the environmental domain in the yoga group, though this disappeared in the between-group comparison perhaps due to poor glycemic control (hemoglobin A1c varied from 9.4 to 9.6) and the short duration of 3 months of the study.
Peer support and yoga improved perceptions of QOL though its impact on scores was not significant due to a short period of study among women with poor glycemic control.
本研究为一项干预性研究，旨在了解两种低成本干预措施——瑜伽和同伴支持对2型糖尿病女性生活质量（QOL）的影响。
对124名招募的糖尿病女性进行了一项开放标签平行三臂随机对照试验，为期3个月。采用了长度为6的区组随机化方法。在瑜伽组，由一名教练指导进行课程，包括一组与呼吸协调的姿势，每周2天，每次1小时。在同伴支持组，每位经过培训的同伴导师每周探访13 - 14名糖尿病女性，之后还会进行电话随访。会面内容是关于在日常生活中应用疾病管理计划。在研究开始和结束时，通过经过翻译和验证的世界卫生组织生活质量简表（WHO QOL - BREF）在身体、心理、社会和环境四个领域对生活质量进行评估。
大多数（96%）研究参与者认为同伴支持和瑜伽干预是有益的。配对检验显示，同伴组在社会和环境领域以及瑜伽组在环境领域有显著提高，不过在组间比较中这种提高消失了，这可能是由于血糖控制不佳（糖化血红蛋白从9.4到9.6不等）以及研究为期3个月的时间较短。
同伴支持和瑜伽改善了对生活质量的认知，尽管由于对血糖控制不佳的女性进行的研究时间较短，其对得分的影响并不显著。
