Abd-El Mohsen Sahar A, Mohamed Shehata Azhar A
Department of Nursing Sciences, College of Applied Medical Sciences in Wadi Alddawasir, Prince Sattam bin Abdulaziz University, Postal code: 18616, Saudi Arabia.
Department of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.
Saudi J Biol Sci. 2020 Nov;27(11):2869-2875. doi: 10.1016/j.sjbs.2020.09.018. Epub 2020 Sep 14.
Background; findings from the meta-analysis have shown that patients present improvements in glycaemic control, and in the prevention and control of the acute and chronic complications, when they receive effective treatment, self-management support and regular monitoring. The present study aimed to evaluate the effect of implementing a health education program on outcomes of type I diabetic patients. Quasi-experimental study design was used to fulfill the aim of the study. The study was conducted in the outpatient diabetic clinic at Asyut University Hospital; 60 adult male and female patients who attended the outpatient diabetic clinic were included. Two tools were used in this study; structured interviewing questionnaire with three parts; part one: demographic patient variables, part two: patient's medical data and part three: patient's knowledge regarding diabetes, the second tool is evaluation of type I diabetic patients' outcomes (pre/post). Results revealed that the highest percentage of the studied samples were in the age group 18 to less than 30 years, 90.0% of the study group and 83.4% of the control group were having a family history of diabetes, a statistically significant difference was found in the study group patients pre and post application of the program regarding insulin injection and glycemic control. Conclusion: this study demonstrated the effectiveness of health education program implementation on the outcomes of type I diabetic patients in terms of improved knowledge and practicing exercise, teeth care, feet care and on glycemic control.
荟萃分析的结果表明，患者在接受有效治疗、自我管理支持和定期监测时，血糖控制以及急慢性并发症的预防和控制方面会有所改善。本研究旨在评估实施健康教育计划对 I 型糖尿病患者治疗效果的影响。采用准实验研究设计来实现研究目的。该研究在阿斯尤特大学医院的门诊糖尿病诊所进行；纳入了 60 名到门诊糖尿病诊所就诊的成年男性和女性患者。本研究使用了两种工具；结构化访谈问卷分为三个部分：第一部分：患者人口统计学变量，第二部分：患者的医疗数据，第三部分：患者对糖尿病的认知，第二种工具是评估 I 型糖尿病患者的治疗效果（治疗前/后）。结果显示，研究样本中最高比例的患者年龄在 18 岁至 30 岁以下，研究组中 90.0%的患者和对照组中 83.4%的患者有糖尿病家族史，在研究组患者中，该计划实施前后在胰岛素注射和血糖控制方面存在统计学上的显著差异。结论：本研究证明了实施健康教育计划对 I 型糖尿病患者的治疗效果，体现在知识的提高以及在锻炼、牙齿护理、足部护理和血糖控制方面的实践。
