Odajima Yuki, Kawaharada Mariko, Wada Norio
School of Nursing, Nagoya City University, Japan.
Hokkaido University of Science Dept. of Nursing Faculty of Health of Sciences, Japan.
Nagoya J Med Sci. 2017 Aug;79(3):363-374. doi: 10.18999/nagjms.79.3.363.
This study aimed to develop a group education program that facilitates a sense of coherence among patients with type 2 diabetes mellitus, which was provided four times, and to validate the effect of the program among the patients. Researchers allocated 40 patients with type 2 diabetes, who had been admitted to a general hospital in Japan for diabetes education for two weeks. Twenty-one patients were allocated to the intervention group and 19 to the control group. The control group undertook a lecture-based educational program that the facility offered. The intervention group received the program, in addition to the facility's educational program. The sense of coherence scale and the Problem Areas in Diabetes Survey were used as evaluation indices. The average age of the intervention group was 59.1 years and that of the control group was 59.5 years. The intervention group showed a between-group effect of improvement in the sense of coherence score. Additionally, the intervention group showed a within-group effect of improvement in the sense of coherence score, as well as the comprehensibility and manageability scores, which are subdomains, and the Problem Areas in Diabetes Survey score. The within-group comparison showed a significant decrease in the early-morning FPG at both groups by an effect of treatment. The program suggested the possibility of improving the sense of coherence and the Problem Areas in Diabetes Survey. In order to enhance general use of the program, it is necessary to reach out to participating facilities and verify the effect of the program.
本研究旨在开发一种团体教育项目，以促进2型糖尿病患者的连贯感，该项目共进行了四次，并验证该项目在患者中的效果。研究人员将40名2型糖尿病患者分配至日本一家综合医院接受为期两周的糖尿病教育。21名患者被分配至干预组，19名患者被分配至对照组。对照组参加了该机构提供的基于讲座的教育项目。干预组除了参加该机构的教育项目外，还接受了本项目。连贯感量表和糖尿病问题调查被用作评估指标。干预组的平均年龄为59.1岁，对照组的平均年龄为59.5岁。干预组在连贯感得分上显示出组间改善效果。此外，干预组在连贯感得分、可理解性和可管理性得分（作为子领域）以及糖尿病问题调查得分方面均显示出组内改善效果。组内比较显示，两组的清晨空腹血糖均因治疗效果而显著降低。该项目表明了改善连贯感和糖尿病问题调查的可能性。为了提高该项目的普遍适用性，有必要与参与机构联系并验证该项目的效果。
