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健康教育技术方案对提高 2 型糖尿病患者自我管理行为依从性和生活质量的效果:一项随机对照试验。

Efficacy of a health education technology program in improving adherence to self-management behaviors and quality of life among adults with type 2 diabetes: A randomized controlled trial.

机构信息

Department of Nursing, Central Taiwan University of Science and Technology, Taichung, Taiwan.

Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan.

出版信息

Prim Care Diabetes. 2024 Oct;18(5):479-485. doi: 10.1016/j.pcd.2024.08.003. Epub 2024 Sep 1.

Abstract

AIM

This study examined the efficacy of a health education technology program on self-management adherence behavior and quality of life among people with type 2 diabetes (T2D).

METHODS

A randomized experimental study design was employed. A total of 110 subjects was recruited. The experimental group received a novel technology education program plus routine shared care. The control group received routine shared care alone. Quality of life and adherence to self-management behavior questionnaires were used to measure outcomes. A linear mixed-effects model was used to analyze changes in quality of life after controlling for pre-test effects. The odds ratio was calculated for differences in adherence behavior between the two groups.

RESULTS

The between-group mean difference in quality of life scores and adherence to physical activity comparing pre-test at 3 months follow-up showed significant progress at 3 months post-test compared with the control group. However, the increase in mean quality of life scores and adherence behavior at 6 months did not demonstrate a sustained between-group difference.

CONCLUSION

The results showed adherence to physical activity and improved quality of life in patients with T2D at 3 months post intervention. Therefore, the program can be used as an intensive model for diabetes shared care.

摘要

目的

本研究旨在探讨一种健康教育技术方案对 2 型糖尿病(T2D)患者自我管理依从行为和生活质量的疗效。

方法

采用随机对照试验设计。共招募了 110 名受试者。实验组接受新型技术教育方案加常规共同照护,对照组仅接受常规共同照护。采用生活质量和自我管理依从性行为问卷来衡量结果。采用线性混合效应模型来分析控制预测试影响后的生活质量变化。计算两组间依从性行为差异的优势比。

结果

与对照组相比,试验组在 3 个月随访时的生活质量评分和身体活动依从性的组间平均差异在 3 个月时具有显著进展。然而,6 个月时的平均生活质量评分和依从行为的增加并未显示出持续的组间差异。

结论

结果表明,该方案在干预后 3 个月内可提高 T2D 患者的身体活动依从性和生活质量。因此,该方案可以作为糖尿病共同照护的强化模式。

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