临床药师开展的糖尿病教育对苏丹II型糖尿病患者生活质量及治疗满意度的影响：随机双盲对照试验
The Impact of Diabetes Education by Clinical Pharmacist on Quality of Life and Treatment Satisfaction of Sudanese Individuals With Type II Diabetes Mellitus: Randomized, Double-Blind, Controlled Trial.
作者信息
Badi Safaa, Suliman Sara Zainelabdein, Almahdi Rayan, Aldomah Mohammed A, Ahmed Mohamed H, Elkheir Habab Khalid, Ibrahim Mohamed Izham Mohamed
机构信息
Department of Clinical Pharmacy, Faculty of Pharmacy, Omdurman Islamic University, Khartoum, Sudan.
Department of Medicine and HIV Metabolic Clinic, and Department of Geriatric Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK.
出版信息
J Prim Care Community Health. 2024 Jan-Dec;15:21501319241279681. doi: 10.1177/21501319241279681.
BACKGROUND
Patients' satisfaction with their treatment directly impacts the control of their diabetes. Quality of life is crucial for patients with diabetes mellitus to maintain long-term health and minimize complications. The current study aimed to evaluate the impact of diabetes education on quality of life (QoL) and treatment satisfaction of patients with type 2 diabetes mellitus.
METHODS
The current study was a randomized controlled trial. Patients with type 2 diabetes who were attending the diabetes clinic for 1 year were recruited. The overall sample in this study was 364 participants; 182 controls 182 cases. The interventional and control group participants were assigned randomly by simple random sampling technique. Controls were managed per usual care while cases were managed per usual care plus education done by the researcher. Pre-structured standardized questionnaires were used to collect the data. Data were processed and analyzed by using SPSS; version 28.
RESULTS
More than three-fourth of the participants; 76.4% were females. The average (±SD) age of the cases was 54.5 (±10) years, while was 56 (±9.8) years for controls. The overall median (IQR) years of DM diagnosis for all participants was 8 (4-14) years. The results showed a statistically significant difference between the mean satisfaction score from baseline to 12 months in the cases compared the controls ( < .001). Furthermore, there are statistically insignificant differences between the changes of mean overall QoL score from baseline to 12 months among the 2 groups.
CONCLUSION
The education provided improved self-reported treatment-satisfaction among individuals with diabetes .A statistically insignificant differences in QoL between the 2 groups compared to baseline have been shown at the study end.The trial registration number is PACTR202311766174946 which was registered by pan African clinical trials registry, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=26928.
背景
患者对治疗的满意度直接影响其糖尿病的控制。生活质量对于糖尿病患者维持长期健康和减少并发症至关重要。本研究旨在评估糖尿病教育对2型糖尿病患者生活质量（QoL）和治疗满意度的影响。
方法
本研究为随机对照试验。招募了在糖尿病门诊就诊1年的2型糖尿病患者。本研究的总样本为364名参与者；182名对照组，182名病例组。干预组和对照组参与者通过简单随机抽样技术随机分配。对照组按常规护理管理，病例组按常规护理加研究者进行的教育管理。使用预先构建的标准化问卷收集数据。数据使用SPSS 28版进行处理和分析。
结果
超过四分之三的参与者（76.4%）为女性。病例组的平均（±标准差）年龄为54.5（±10）岁，对照组为56（±9.8）岁。所有参与者糖尿病诊断的总体中位（四分位间距）年限为8（4 - 14）年。结果显示，与对照组相比，病例组从基线到12个月的平均满意度得分存在统计学显著差异（<0.001）。此外，两组从基线到12个月的平均总体生活质量得分变化之间存在统计学不显著差异。
结论
所提供的教育提高了糖尿病患者自我报告的治疗满意度。在研究结束时，与基线相比，两组在生活质量方面显示出统计学不显著差异。试验注册号为PACTR202311766174946，由泛非临床试验注册中心注册，https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=26928。
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