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家庭社会支持对糖尿病患者代谢控制的作用:一项随机对照临床试验。

Contribution of family social support to the metabolic control of people with diabetes mellitus: A randomized controlled clinical trial.

作者信息

Gomes Lilian Cristiane, Coelho Anna Claudia Martins, Gomides Danielle Dos Santos, Foss-Freitas Maria Cristina, Foss Milton César, Pace Ana Emilia

机构信息

Fundamental Nursing Graduate Program, EERP/USP, Ribeirão Preto, São Paulo, Brazil.

Department of Medical Clinics of the School of Medicine, Ribeirão Preto/USP, Ribeirão Preto, São Paulo, Brazil.

出版信息

Appl Nurs Res. 2017 Aug;36:68-76. doi: 10.1016/j.apnr.2017.05.009. Epub 2017 May 28.

Abstract

AIM

This randomized controlled clinical trial aimed to evaluate the contribution of family social support to the clinical/metabolic control of people with type 2 diabetes mellitus.

BACKGROUND

Diabetes mellitus is a chronic disease that requires continuous care in order for individuals to reach glycemic control, the primordial goal of treatment. Family social support is essential to the development of care skills and their maintenance. However, there are few studies that investigate the contribution of family social support to diabetes control.

METHODS

The study was developed between June 2011 and May 2013, and included 164 people who were randomized using simple randomization. The intervention group differed from the control group in that it included a family caregiver, who was recognized by the patient as a source of social support. The educational interventions received by people with diabetes mellitus were used as the basis of the education provided through telephone calls to patients' family members and caregivers, and their purpose was to encourage dialogue between the patients and their relatives about the topics related to diabetes.

RESULTS

Regarding the clinical impact, the results showed that there was a greater reduction in blood pressure and glycated hemoglobin in the intervention group than in the control group, showing a positive effect on the control of the disease.

CONCLUSIONS

Families should be incorporated into the care of people with diabetes mellitus and especially in health care programs, in particular those that can promote different forms of social support to strengthen the bond between family members.

摘要

目的

本随机对照临床试验旨在评估家庭社会支持对2型糖尿病患者临床/代谢控制的作用。

背景

糖尿病是一种慢性病,为使个体达到血糖控制这一治疗的首要目标,需要持续护理。家庭社会支持对于护理技能的培养及其维持至关重要。然而,很少有研究调查家庭社会支持对糖尿病控制的作用。

方法

该研究于2011年6月至2013年5月开展,纳入164名采用简单随机化分组的受试者。干预组与对照组的不同之处在于,干预组纳入了一名被患者认可为社会支持来源的家庭照顾者。以糖尿病患者接受的教育干预为基础,通过给患者家属和照顾者打电话提供教育,目的是鼓励患者及其亲属就糖尿病相关话题展开对话。

结果

关于临床影响,结果显示干预组的血压和糖化血红蛋白下降幅度大于对照组,表明对疾病控制有积极作用。

结论

应将家庭纳入糖尿病患者的护理工作中,尤其是在医疗保健项目中,特别是那些能够促进不同形式社会支持以加强家庭成员之间联系的项目。

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