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糖尿病自我管理教育计划对 1 型糖尿病患者血糖水平和自我护理的影响:一项初步随机对照试验。

Effects of a Diabetes Self-Management Education Program on Glucose Levels and Self-Care in Type 1 Diabetes: A Pilot Randomized Controlled Trial.

机构信息

Centro Universitario de Enfermería de Cruz Roja, Universidad de Sevilla, Avenida de la Cruz Roja, No. 1, 41009 Seville, Spain.

Departamento de Enfermería de la Universidad de Sevilla, Calle Avenzoar, No. 6, 41009 Seville, Spain.

出版信息

Int J Environ Res Public Health. 2022 Dec 6;19(23):16364. doi: 10.3390/ijerph192316364.

Abstract

(1) Background: Several factors have been associated with the success of health education programs, such contact time, with better results being obtained from more intensive programs and early outcome measurement. Nurses play an essential role in educating patients with diabetes both in disease-management, therapeutic education, and healthy lifestyles promotion as well as emotion management. The objective was to evaluate the effectiveness of a nurse-led educational program based on patients with type 1 diabetes; (2) Methods: An experimental, two-group comparison design, 69 patients participated in the intervention group and 62 in control group. The control group received routine health education and follow-up. The intervention group received intensive educational program led by nurses. The effects were evaluated after 1 and 3 months of intervention; (3) Results: The differences between groups in sensor usage, knowledge, and diabetes self-care three months after the educational program were significant; (4) Conclusions: The program could help type 1 diabetes patients to improve the control rates for blood glucose. The continuous glucose monitoring sensor allowed knowing which parameters improved one and three months after the intervention. The hypothesis of the influence of the emotional state on glucose levels was confirmed.

摘要

(1) 背景:健康教育计划的成功与多种因素相关,例如接触时间,更密集的计划和早期结果测量可获得更好的效果。护士在教育糖尿病患者方面发挥着重要作用,包括疾病管理、治疗教育、促进健康生活方式和情绪管理。目的是评估基于 1 型糖尿病患者的护士主导的教育计划的有效性;(2) 方法:一项实验性、两组比较设计,69 名患者参加了干预组,62 名患者参加了对照组。对照组接受常规健康教育和随访。干预组接受由护士主导的强化教育计划。干预后 1 个月和 3 个月评估效果;(3) 结果:教育计划 3 个月后,两组在传感器使用、知识和糖尿病自我护理方面的差异具有统计学意义;(4) 结论:该计划可以帮助 1 型糖尿病患者提高血糖控制率。连续血糖监测传感器可以了解干预后 1 个月和 3 个月时哪些参数得到了改善。情绪状态对血糖水平影响的假设得到了证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a38e/9738291/d72c5f421f22/ijerph-19-16364-g001.jpg

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