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自我护理教育对2型糖尿病患者情商及糖化血红蛋白水平的影响:一项随机对照临床试验

The Effect of Self-Care Education on Emotional Intelligence and HbA1c level in Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial.

作者信息

Tavakol Moghadam Salma, Najafi Seyed Saeed, Yektatalab Shahrzad

机构信息

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Int J Community Based Nurs Midwifery. 2018 Jan;6(1):39-46.

PMID:29344534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5747571/
Abstract

BACKGROUND

The role of Emotional Intelligence (EI) in glycemic control in type 2 Diabetes Mellitus (DM) has not been fully understood. The present study aimed to investigate the effect of self-care education on EI and hemoglobin glycosylated (HbA1c) in patients with type 2 diabetes.

METHODS

In this randomized controlled clinical trial, 48 patients with type 2 DM referred to Shahid Motahari Diabetes Center in 2015 were divided into an intervention and a control group using block randomization. The study data were collected using Bar-On questionnaire and blood testing immediately and two months after the intervention. The educational content was presented to the intervention group through 1-1:30-hour sessions held once a week for 8 continuous weeks. The control group, however, only received the clinic's routine cares.

RESULTS

The results showed a significant difference in the mean level of HbA1c in the intervention group before and two months after the intervention (P=0.003). However, this difference was not significant in the control group. Moreover, the mean of EI was higher in the intervention group compared to the control group (P=0.08).

CONCLUSION

Self-care education improved the HbA1c level and EI among the patients with type 2 DM. Therefore, it is recommended that health care providers, specially nurses, should train the diabetic patients for self-care, which can lead to better glycemic control. IRCT201408188505N7.

摘要

背景

情绪智力(EI)在2型糖尿病(DM)血糖控制中的作用尚未完全明了。本研究旨在探讨自我护理教育对2型糖尿病患者情绪智力及糖化血红蛋白(HbA1c)的影响。

方法

在这项随机对照临床试验中,2015年转诊至沙希德·莫塔哈里糖尿病中心的48例2型糖尿病患者采用区组随机化方法分为干预组和对照组。研究数据通过巴昂问卷及在干预即刻和干预两个月后进行血液检测收集。教育内容通过每周一次、每次1至1.5小时、连续8周的一对一授课形式呈现给干预组。然而,对照组仅接受诊所的常规护理。

结果

结果显示,干预组干预前和干预两个月后的HbA1c平均水平存在显著差异(P = 0.003)。然而,对照组的这一差异不显著。此外,干预组的情绪智力平均值高于对照组(P = 0.08)。

结论

自我护理教育改善了2型糖尿病患者的HbA1c水平和情绪智力。因此,建议医疗保健提供者,特别是护士,应对糖尿病患者进行自我护理培训,这有助于更好地控制血糖。IRCT201408188505N7。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8a8/5747571/bdc51c345201/IJCBNM-6-39-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8a8/5747571/bdc51c345201/IJCBNM-6-39-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8a8/5747571/bdc51c345201/IJCBNM-6-39-g001.jpg

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