School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
School of Nursing, Tung Wah College, Hong Kong SAR, China.
Int J Nurs Pract. 2024 Apr;30(2):e13245. doi: 10.1111/ijn.13245. Epub 2024 Feb 14.
This study examined the preliminary effects of a nurse-led self-management education and support programme on the self-management behaviours and quality of life among people with type 2 diabetes in Western Ethiopia.
A pilot randomized controlled trial was conducted between January and August 2021. Participants were recruited in the hospital and randomly assigned to the control arm to continue usual care (n = 38) or the intervention arm to receive usual care and the diabetes self-management education and support programme (n = 38) in the community. Self-management behaviours and quality of life were assessed using a 10-item summary of diabetes self-care activity (expanded) scale and a 34-item diabetes quality of life measure, respectively, at baseline and 2 months after follow-up. Generalized estimating equation models were used to examine the preliminary effects of the programme on the outcomes.
Preliminary results indicated that the programme outperformed usual care in self-management practise, with large effect sizes immediately postintervention and at 2 months after the intervention, and quality of life at 2 months after the intervention.
A nurse-led diabetes self-management education and support intervention, including the families of people with diabetes, may be an option to boost the self-management practise and quality of life of patients with diabetes.
本研究旨在探讨在埃塞俄比亚西部,由护士主导的自我管理教育和支持计划对 2 型糖尿病患者自我管理行为和生活质量的初步影响。
本研究于 2021 年 1 月至 8 月期间开展了一项试点随机对照试验。参与者在医院招募,并随机分配到对照组(继续接受常规护理,n=38)或干预组(在社区接受常规护理和糖尿病自我管理教育和支持计划,n=38)。在基线和随访 2 个月时,分别使用糖尿病自我护理活动(扩展)量表的 10 项摘要和 34 项糖尿病生活质量量表评估自我管理行为和生活质量。使用广义估计方程模型来检验该计划对结果的初步影响。
初步结果表明,该计划在自我管理实践方面优于常规护理,干预后即刻和干预后 2 个月的效果显著,而在干预后 2 个月的生活质量方面也有显著效果。
包括糖尿病患者家属在内的由护士主导的糖尿病自我管理教育和支持干预可能是提高糖尿病患者自我管理实践和生活质量的一种选择。