Kong Seung-Yeon, Cho Mi-Kyoung
Referral Center, Chungbuk National University Hospital, Cheongju 28644, Republic of Korea.
Department of Nursing Science, Research Institute of Nursing Science, Chungbuk National University, Cheongju 28644, Republic of Korea.
Healthcare (Basel). 2024 Jul 10;12(14):1381. doi: 10.3390/healthcare12141381.
The prevalence of diabetes has increased worldwide. Therefore, interest in improving glycemic control for diabetes has grown, and continuous glucose monitoring (CGM) has recently received attention as an effective glycemic control method. This study developed and evaluated the effectiveness of an education program for pattern management using CGM based on Whittemore and Roy's middle-range theory of adapting to diabetes mellitus.
A quasi-experimental study was conducted on 50 adult patients with type 2 diabetes who visited the outpatient clinic of a university hospital. The experimental group was treated with a pattern management program using CGM for 12 weeks and six personalized education sessions were provided to the patients through face-to-face education and phone monitoring.
The frequency of diabetes-related symptoms in the experimental group decreased, and social support ( = 2.95, = 0.005), perceived benefits ( = 3.72, < 0.001) and self-care significantly increased ( = 6.09, < 0.001). Additionally, the program was found to be effective in improving HbA1c ( = -3.83, < 0.001), FBS ( = -2.14, = 0.038), and HDL-C ( = 2.39, = 0.021).
The educational program developed through this study can be implemented as a self-management approach for individuals with type 2 diabetes using CGM, aimed at enhancing glycemic control and preventing complications.
糖尿病在全球范围内的患病率呈上升趋势。因此，人们对改善糖尿病血糖控制的关注度不断提高，而持续葡萄糖监测（CGM）作为一种有效的血糖控制方法最近受到了关注。本研究基于惠特莫尔和罗伊的糖尿病适应中程理论，开发并评估了一项使用CGM进行模式管理的教育项目的有效性。
对50名到大学医院门诊就诊的成年2型糖尿病患者进行了一项准实验研究。实验组接受了为期12周的使用CGM的模式管理项目，并通过面对面教育和电话监测为患者提供了六次个性化教育课程。
实验组与糖尿病相关症状的发生频率降低，社会支持（=2.95，=0.005）、感知益处（=3.72，<0.001）和自我护理显著增加（=6.09，<0.001）。此外，该项目被发现对改善糖化血红蛋白（= -3.83，<0.001）、空腹血糖（= -2.14，=0.038）和高密度脂蛋白胆固醇（=2.39，=0.021）有效。
本研究开发的教育项目可作为一种自我管理方法应用于使用CGM的2型糖尿病患者，旨在加强血糖控制和预防并发症。
