Bohlool Hospital, Gonabad University of Medical Sciences, Gonabad, Iran.
Department of Community Health Nursing & Management Nursing, School of Nursing, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
Clin Rehabil. 2020 Jun;34(6):794-802. doi: 10.1177/0269215520914067. Epub 2020 Apr 20.
To determine the effect of a supportive educational intervention based on the Orem self-care model on women with type 2 diabetes and diabetic peripheral neuropathy.
A randomized controlled trial.
Hospital outpatient diabetes clinic.
Adult women with type 2 diabetes and mild-to-moderate diabetic peripheral neuropathy. Out of 410 patients, 120 diabetic patients were recruited and randomly assigned to trial group ( = 60) and control group ( = 60).
The trial group received a designed intervention consist of one-month supportive educational program with three months of follow-up (totally four months), based on self-care requisites according to the Orem self-care regarding diabetic peripheral neuropathy. The control group only received a routine care program in the diabetes clinic.
The main outcomes were symptoms and severity of diabetic neuropathy. Further outcomes were fasting blood sugar and glycosylated hemoglobin.
By the end of the intervention, the number of participants reduced from 60 to 58 in the trial group and to 57 in the control group (totally 115). The intervention significantly decreased mean score of diabetic neuropathy symptoms (trial group: 3.26 vs. control group: 9.57, = 0.001), severity (trial group: 5.86 vs. control group: 9.02, = 0.001), fasting blood sugar (trial group: 151 vs. control group: 204, = 0.001), and glycosylated hemoglobin (trial group: 7.85 vs. control group: 8.62, = 0.004).
Delivering a supportive-educational intervention based on the Orem self-care model on outpatient diabetes clinic can decrease the symptoms and severity of diabetic peripheral neuropathy.
It was registered in the Iranian Registry of Clinical Trials (IRCT2015021521095N1).
探讨基于奥瑞姆自我护理模式的支持性教育干预对 2 型糖尿病合并糖尿病周围神经病变患者的影响。
随机对照试验。
医院门诊糖尿病诊所。
2 型糖尿病合并轻度至中度糖尿病周围神经病变的成年女性。在 410 名患者中，招募了 120 名糖尿病患者，并随机分为试验组（n=60）和对照组（n=60）。
试验组接受为期一个月的支持性教育计划，包括三个月的随访（共四个月），根据奥瑞姆自我护理模式对糖尿病周围神经病变的自我护理需求进行设计。对照组仅在糖尿病诊所接受常规护理计划。
主要结局指标为糖尿病周围神经病变的症状和严重程度。进一步的结果是空腹血糖和糖化血红蛋白。
干预结束时，试验组的参与者人数从 60 人减少到 58 人，对照组从 60 人减少到 57 人（总共 115 人）。干预显著降低了糖尿病周围神经病变症状的平均评分（试验组：3.26 分 vs. 对照组：9.57 分，P=0.001）、严重程度（试验组：5.86 分 vs. 对照组：9.02 分，P=0.001）、空腹血糖（试验组：151 分 vs. 对照组：204 分，P=0.001）和糖化血红蛋白（试验组：7.85 分 vs. 对照组：8.62 分，P=0.004）。
在门诊糖尿病诊所提供基于奥瑞姆自我护理模式的支持性教育干预可以降低糖尿病周围神经病变的症状和严重程度。
该研究在伊朗临床试验注册中心（IRCT2015021521095N1）注册。
