印度尼西亚北苏门答腊省棉兰市初级卫生保健机构中糖尿病自我管理教育对2型糖尿病患者糖化血红蛋白水平和空腹血糖的影响。
The Effect of Diabetes Self-Management Education on Hba1c Level and Fasting Blood Sugar in Type 2 Diabetes Mellitus Patients in Primary Health Care in Binjai City of North Sumatera, Indonesia.
作者信息
Savira Maya, Amelia Rina
机构信息
Departement of Biochemistry, Faculty of Medical Universitas Sumatera Utara, Medan, Indonesia.
Departement of Physiology, Faculty of Medical Universitas Sumatera Utara, Medan, Indonesia.
出版信息
Open Access Maced J Med Sci. 2018 Apr 12;6(4):715-718. doi: 10.3889/oamjms.2018.169. eCollection 2018 Apr 15.
Abstract
AIM
The study aimed to evaluate the effect of short-term diabetes self-management education (DSME) on Hba1and Fasting Blood Sugar in type 2 diabetes mellitus patients attending the Primary Health Care (PHC) in Binjai city of North Sumatera, Indonesia.
SUBJECTS AND METHODS
A quasi-experimental (pretest-posttest) study was conducted in 4 PHCs, involving 80 patients with type 2 diabetes mellitus. The patients in received a 3-months intervention, including an 8 week education on self- management of diabetes mellitus and subsequent 4 weeks of practice of the self- management guidelines.The patients received standard advice on diet management.
RESULTS
There was a significant reduction in Hba1c levels. The statistical analysis using t-test found that there was a significant difference of Hba1c value between pre and post education among type 2 diabetes mellitus patients (p < 0.005).
CONCLUSIONS
Diabetes self-management education in PHC of Binjai city can reduce the Hba1c level in type 2 diabetes mellitus patients.
摘要
目的
本研究旨在评估短期糖尿病自我管理教育（DSME）对印度尼西亚北苏门答腊省棉兰市初级卫生保健（PHC）机构中2型糖尿病患者糖化血红蛋白（Hba1c）水平和空腹血糖的影响。
对象与方法
在4家初级卫生保健机构开展了一项准实验性（前测-后测）研究，纳入80例2型糖尿病患者。患者接受为期3个月的干预，包括为期8周的糖尿病自我管理教育以及随后4周的自我管理指南实践。患者接受了饮食管理方面的标准建议。
结果
糖化血红蛋白（Hba1c）水平显著降低。采用t检验进行统计分析发现，2型糖尿病患者教育前后的糖化血红蛋白（Hba1c）值存在显著差异（p < 0.005）。
结论
棉兰市初级卫生保健机构开展的糖尿病自我管理教育可降低2型糖尿病患者的糖化血红蛋白（Hba1c）水平。
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本文引用的文献
1
The effect of diabetes self-management education on body weight, glycemic control, and other metabolic markers in patients with type 2 diabetes mellitus.
J Diabetes Res. 2014;2014:789761. doi: 10.1155/2014/789761. Epub 2014 Jul 17.
2
Global burden of disease--where does diabetes mellitus fit in?
Nat Rev Endocrinol. 2013 May;9(5):258-60. doi: 10.1038/nrendo.2013.54. Epub 2013 Mar 12.
3
Cerebrovascular disease in diabetes mellitus: the role of carotid intima-media thickness.
Nutr Metab Cardiovasc Dis. 2009 Nov;19(9):667-73. doi: 10.1016/j.numecd.2009.03.014. Epub 2009 Jun 5.
4
AADE7 Self-Care Behaviors.
Diabetes Educ. 2008 May-Jun;34(3):445-9. doi: 10.1177/0145721708316625.
5
National standards for diabetes self-management education.
Diabetes Care. 2008 Jan;31 Suppl 1(Suppl 1):S97-104. doi: 10.2337/dc08-S097.
6
Effects of lifestyle modification on metabolic parameters and carotid intima-media thickness in patients with type 2 diabetes mellitus.
Metabolism. 2006 Aug;55(8):1053-9. doi: 10.1016/j.metabol.2006.03.017.
7
Diabetes mellitus: complications and therapeutics.
Med Sci Monit. 2006 Jul;12(7):RA130-47. Epub 2006 Jun 28.
8
Diabetes mellitus related morbidity, risk of hospitalization and disability.
J Insur Med. 2003;35(2):102-13.
9
How well do patients' assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services?
Diabetes Care. 2003 Mar;26(3):738-43. doi: 10.2337/diacare.26.3.738.
10
Patient education in the management of diabetes mellitus.
Singapore Med J. 1997 Apr;38(4):156-60.
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