Wood E R
Seiler Corporation, University of Massachusetts Medical Center, Worcester 01655.
J Am Diet Assoc. 1989 Mar;89(3):354-8.
Ninety-three hospitalized patients with diabetes were followed for a 4-month period after discharge. Fifty-three of them attended an inpatient diabetes education program. The primary objectives of this research were to (a) determine the effectiveness of the program in improving diabetes-related behaviors and outcomes of the patients attending the program and (b) study the effects of time on those behaviors and outcomes. Examples of self-care behaviors included eating three meals per day, daily urine testing, and maintaining an exercise program. Outcome measures included reduced fasting blood glucose levels, reduced insulin requirements, fewer hospitalizations, and fewer emergency room visits. At 1 and 4 months after discharge, the group that attended the program reported better compliance for all self-care behaviors than did the group that did not attend the program. Outcomes were also better for the group that attended the education program.
93名住院糖尿病患者在出院后接受了4个月的随访。其中53人参加了住院糖尿病教育项目。本研究的主要目的是：（a）确定该项目对改善参加项目患者的糖尿病相关行为和结局的有效性；（b）研究时间对这些行为和结局的影响。自我护理行为的例子包括每日三餐、每日尿液检测以及坚持锻炼计划。结局指标包括空腹血糖水平降低、胰岛素需求量减少、住院次数减少以及急诊就诊次数减少。出院后1个月和4个月时，参加项目的组在所有自我护理行为方面的依从性均高于未参加项目的组。参加教育项目的组的结局也更好。
