RN, Ph.D. Graduate Program in Nursing and Health, Universidade Estadual do Sudoeste da Bahia, Bahia-Brazil.
RN, Ph.D. Professora. Graduate Program in Nursing and Health, Universidade Estadual do Sudoeste da Bahia, Bahia-Brazil.
Invest Educ Enferm. 2024 Mar;42(1). doi: 10.17533/udea.iee.v42n1e03.
To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus.
Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up.
Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention.
The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.
评估针对 2 型糖尿病成人的教育干预对感知压力和代谢综合征参数的有效性。
51 名成年人（年龄 48.73±7.84 岁；86.3%为女性）被纳入一项在医疗保健单位进行的为期六个月的非随机临床试验（巴西临床试验注册处：RBR-43K52N）。所有参与者均被诊断患有 2 型糖尿病和代谢综合征（干预组，n=26；对照组，n=25）。干预措施包括由护士主导的具有多学科方法的健康教育促进计划，组织了七个工作坊。主要结局是感知压力降低，次要结局是根据感知压力水平改善代谢综合征参数。这些结果在基线和随访时进行了两次评估。
参与干预计划导致感知压力显著降低（p=0.028）。干预组中处于应激状态的参与者在经过六个月的干预后，血糖水平显著降低（p=0.001），高密度脂蛋白胆固醇浓度显著升高（p=0.003）。
由护士主导的教育促进健康计划降低了 2 型糖尿病和代谢综合征成人的感知压力，改善了干预组中处于应激状态的参与者的空腹血糖和高密度脂蛋白胆固醇。
