Caetano Inês Rosendo Carvalho E Silva, Santiago Luiz Miguel, Marques Margarida
Coimbra Centro, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal.
USF Topázio, Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal.
Rev Assoc Med Bras (1992). 2018 Feb;64(2):140-147. doi: 10.1590/1806-9282.64.02.140.
Diabetes therapeutic education and information by leaflets is important. This study aimed to understand the effectiveness of written information to diabetic patients, after six months, in the control of diabetes and medication adherence.
Non-pharmacological clinical trial. Randomized sample of diabetic patients of 65 volunteer doctors, distributed among the five health regions in Portugal. At the first appointment, patients were randomized in four groups (three intervention with validated leaflets and one control), leaflet reading being reinforced at the follow-up appointments in a 6-months period. Variables collected: HbA1c, home blood glucose, weight, waist circumference, blood pressure, cigarettes smoked, physical activity level, adherence to medication, medication, height, diabetes progression, age, sex and educational background. Descriptive and inferential statistics.
From the 709 patients recruited, 702 were studied in this 6-months period with no statistical differences in the baseline variables studied. After six months of intervention, the adherence to medication improved in the leaflet group (p=0.034). This was noticed in those under 65 years of age (p=0.027), with diabetes for ≤ 5 years (p=0.010), with educational background up to 4 years (p=0.030) and 9 years (p=0.006) and with HbA1c ≥ 7% at the beginning of the study.
Interventions with leaflets handed in primary healthcare to people with diabetes type 2 can bring benefits in what concerns adherence to therapeutics, namely in younger people with a less studies.
通过传单进行糖尿病治疗教育和信息传播很重要。本研究旨在了解书面信息对糖尿病患者在六个月后控制糖尿病和药物依从性方面的效果。
非药物临床试验。从65名志愿医生的糖尿病患者中随机抽样，分布在葡萄牙的五个健康区域。在首次就诊时，患者被随机分为四组（三组使用经过验证的传单进行干预，一组为对照组），在为期6个月的随访就诊中加强传单阅读。收集的变量包括：糖化血红蛋白（HbA1c）、家庭血糖、体重、腰围、血压、吸烟量、身体活动水平、药物依从性、用药情况、身高、糖尿病进展、年龄、性别和教育背景。采用描述性和推断性统计方法。
在招募的709名患者中，有702名在这6个月期间接受了研究，所研究的基线变量无统计学差异。干预六个月后，传单组的药物依从性有所改善（p = 0.034）。在65岁以下的患者中（p = 0.027）、糖尿病病程≤5年的患者中（p = 0.010）、教育背景为4年（p = 0.030）和9年的患者中（p = 0.006）以及研究开始时糖化血红蛋白≥7%的患者中均观察到这一情况。
在初级医疗保健中向2型糖尿病患者发放传单进行干预，在治疗依从性方面，尤其是对受教育程度较低的年轻人，可能会带来益处。
