家庭为中心的教育是否能提高 1 型糖尿病患者的治疗依从性、糖化血红蛋白和血糖水平?一项随机临床试验。

Does family-centred education improve treatment adherence, glycosylated haemoglobin and blood glucose level in patients with type 1 diabetes? A randomized clinical trial.

机构信息

Nursing and Midwifery Faculty, Urmia, Iran.

Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.

出版信息

Nurs Open. 2023 Apr;10(4):2621-2630. doi: 10.1002/nop2.1522. Epub 2022 Dec 22.

Abstract

AIM

To investigate the effect of family-centred education on treatment adherence, glycosylated haemoglobin and blood glucose level in patients with Type 1 Diabetes Mellitus.

DESIGN

Randomized controlled trial.

METHODS

Sixty patients with Type 1 Diabetes Mellitus were randomly allocated into the intervention and control group. Data were collected using demographic and Modanloo Adherence to Treatment Questionnaires. The patients received 12 family-centred educational sessions in the intervention group.

RESULTS

A significant difference was found in the mean score of treatment adherence between the two groups after the intervention (p < 0.001). The mean score of treatment adherence significantly increased in the intervention group after family-centred education. The mean score of Fasting Blood Glucose and Glycosylated Haemoglobin A1C significantly decreased in the intervention group after the intervention (p < 0.001).

CONCLUSION

Relevant authorities need to consider family-centred education as one of the most important education methods in Type 1 Diabetes Mellitus patients.

TRIAL REGISTRATION

IRCT20131112015390N4; August 21, 2020.

摘要

目的

探讨以家庭为中心的教育对 1 型糖尿病患者治疗依从性、糖化血红蛋白和血糖水平的影响。

设计

随机对照试验。

方法

将 60 例 1 型糖尿病患者随机分为干预组和对照组。采用人口统计学和莫达诺治疗依从性问卷收集数据。干预组的患者接受了 12 次以家庭为中心的教育课程。

结果

干预后两组治疗依从性的平均评分存在显著差异(p<0.001)。家庭为中心的教育后,干预组的治疗依从性平均评分显著增加。干预后,干预组的空腹血糖和糖化血红蛋白 A1C 平均评分显著降低(p<0.001)。

结论

相关部门需要将以家庭为中心的教育视为 1 型糖尿病患者最重要的教育方法之一。

试验注册

IRCT20131112015390N4;2020 年 8 月 21 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78e2/10006630/604d03ce337d/NOP2-10-2621-g002.jpg

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