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根据计划行为理论对糖尿病患者进行培训对自我效能和患者赋权的影响:一项随机研究。

The effect of training to diabetes patients according to planned behavior theory on self-efficacy and patient empowerment: A randomized study.

机构信息

Sakarya University Vocational School of Health Services, The Elderly Care Program, Sakarya, Turkey.

Ministry of Health Safranbolu State Hospital, Karabük, Turkey.

出版信息

Prim Care Diabetes. 2024 Oct;18(5):486-492. doi: 10.1016/j.pcd.2024.08.002. Epub 2024 Aug 24.

Abstract

AIM

To examine the effect of training provided to type 2 diabetes patients according to the theory of planned behavior on self-efficacy and patient empowerment.

METHODS

This study, pre-test-post-test active control group single-blind experimental design, was conducted in the internal medicine outpatient clinic of a state hospital between April and October 2023. Participants were randomly assigned to the intervention group (IG; n = 45) and control group (CG; n = 47). The intervention group received a theory-based training program consisting of 5 sessions lasting approximately 40 min. each. Diabetes Management Self-Efficacy Scale, Patient Empowerment Scale and the patient's laboratory results were used for data collection.

RESULTS

In the study, while the posttest self-efficacy and patient empowerment scores of the intervention group increased compared to the pretest, there was an decrease in HbA1C level. On the post-test measurements between groups, self-efficacy and patient empowerment scores were higher and effect sizes were higher in the intervention group, while no difference was found in HbA1C values.

CONCLUSION

The training program provided according to the theory of planned behavior in diabetes patients provides positive contributions to disease management.

摘要

目的

考察根据计划行为理论为 2 型糖尿病患者提供的培训对自我效能和患者赋权的影响。

方法

本研究采用前后测、主动对照、单盲实验设计,于 2023 年 4 月至 10 月在一家州立医院的内科门诊进行。参与者被随机分配到干预组(IG;n=45)和对照组(CG;n=47)。干预组接受了一个基于理论的培训计划,包括 5 次,每次约 40 分钟。使用糖尿病管理自我效能量表、患者赋权量表和患者的实验室结果来收集数据。

结果

在研究中,与前测相比,干预组的后测自我效能和患者赋权得分增加,而 HbA1C 水平下降。在组间后测测量中,干预组的自我效能和患者赋权得分较高,效果量较大,而 HbA1C 值则无差异。

结论

为糖尿病患者提供的基于计划行为理论的培训方案对疾病管理有积极贡献。

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