Hisni Dayan, Rukmaini Rukmaini, Saryono Saryono, Chinnawong Tippamas, Thaniwattananon Ploenpit
Medical and Surgical Nursing Department, Faculty of Health Sciences, National University, Jakarta, Indonesia.
Midwifery Department, Faculty of Health Sciences, National University, Jakarta, Indonesia.
Jpn J Nurs Sci. 2019 Jan;16(1):25-36. doi: 10.1111/jjns.12208. Epub 2018 Mar 6.
The aim of the study was to determine the feasibility, and to evaluate the effect of, a cardiovascular self-management support program by applying the 5A's self-management support program on preventing cardiovascular complication behaviors and to assess the clinical outcomes in the elderly with poorly controlled type 2 diabetes mellitus (DM).
This pilot study used a quasi-experimental study design. Twelve elderly persons with poorly controlled type 2 DM were assigned into either a control or experimental group, with six participants in each group. The Preventing Cardiovascular Complication Behaviors (PCCB) was measured by the Preventing Cardiovascular Complication Behaviors Questionnaire, while the clinical outcomes were measured by clinical devices that were provided. These measurements were conducted and compared at baseline and 6 weeks after the completion of the program. The self-management support program was a 6 week program with several implementation methods, based on the 5A's self-management support program.
The participants who received the cardiovascular self-management support program reported a significant improvement in their PCCB and clinical outcomes, compared to those receiving the usual care.
This study revealed that a cardiovascular self-management support program that applies the 5A's self-management support program is feasible for implementation.
本研究旨在确定应用5A自我管理支持项目的心血管自我管理支持项目在预防心血管并发症行为方面的可行性，并评估其效果，同时评估2型糖尿病（DM）控制不佳的老年人的临床结局。
本试点研究采用准实验研究设计。12名2型DM控制不佳的老年人被分为对照组或实验组，每组6名参与者。通过预防心血管并发症行为问卷测量预防心血管并发症行为（PCCB），同时通过提供的临床设备测量临床结局。这些测量在基线时以及项目完成后6周进行并比较。自我管理支持项目是一个基于5A自我管理支持项目的为期6周的项目，有多种实施方法。
与接受常规护理的参与者相比，接受心血管自我管理支持项目的参与者在PCCB和临床结局方面有显著改善。
本研究表明，应用5A自我管理支持项目的心血管自我管理支持项目在实施上是可行的。
