Pichayapinyo Panan, Saslow Laura R, Aikens James E, Marinec Nicolle, Sillabutra Jutatip, Rattanapongsai Piyamon, Piette John D
Faculty of Public Health, Mahidol University, Bangkok, Thailand.
School of Nursing, University of Michigan, Ann Arbor, Michigan.
Int J Nurs Pract. 2019 Dec;25(6):e12781. doi: 10.1111/ijn.12781. Epub 2019 Sep 18.
Thailand has a shortage of community health nurses for supporting the self-management of type 2 diabetes, which is prevalent and poorly controlled.
This study examined the feasibility and acceptability of a self-care assistance programme for poorly controlled type 2 diabetes mellitus. The SukapapNet programme consisted of automated interactive voice response calls to patients and automated follow-up email notifications to their nurses.
Single-arm pre-post trial.
Six nurses and 35 type 2 diabetes patients were recruited from primary care settings in suburban provinces in Thailand. The study was conducted from June 2017 to November 2017. We assessed patients before and after 12 weeks of the SukapapNet intervention.
Mean glycated haemoglobin decreased by 0.9%. Patients reported reduced carbohydrate consumption, increased physical activity, increased medication adherence, improved sleep quality, and more frequent foot care. Patients and nurses both recommended using the intervention, although nurses expressed concerns regarding increased workload.
The study programme could improve outcomes in Thai type 2 diabetes patients. Further study of the impact of technology upon nurses' workload is warranted.
泰国缺乏社区健康护士来支持2型糖尿病的自我管理，而2型糖尿病在泰国普遍存在且控制不佳。
本研究检验了一项针对控制不佳的2型糖尿病患者的自我护理协助项目的可行性和可接受性。SukapapNet项目包括对患者的自动交互式语音应答呼叫以及对其护士的自动后续电子邮件通知。
单组前后对照试验。
从泰国郊区省份的基层医疗单位招募了6名护士和35名2型糖尿病患者。研究于2017年6月至2017年11月进行。我们在SukapapNet干预12周前后对患者进行了评估。
糖化血红蛋白平均下降了0.9%。患者报告碳水化合物摄入量减少、身体活动增加、药物依从性提高、睡眠质量改善以及足部护理更频繁。患者和护士都建议使用该干预措施，尽管护士对工作量增加表示担忧。
该研究项目可以改善泰国2型糖尿病患者的病情转归。有必要进一步研究技术对护士工作量的影响。
