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监狱中治疗性患者教育对糖尿病的效果。

Effectiveness of therapeutic patient education on diabetes in prison.

机构信息

Specialist Nurse in Family and Community Nursing. Madrid III-Valdemoro Prison. Madrid. Spain.

Nurse and Podiatrist. Madrid III-Valdemoro Prison. Madrid. Spain.

出版信息

Rev Esp Sanid Penit. 2024 May-Aug;26(2):57-64. doi: 10.18176/resp.00088.

DOI:10.18176/resp.00088
PMID:39345039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474844/
Abstract

OBJECTIVES

Therapeutic education is one of the pillars of the approach to diabetes. The aim of this study is to evaluate the effectiveness of group therapeutic patient education in 15 people diagnosed with diabetes, with poor metabolic control, inmates of the Madrid III-Valdemoro Penitentiary Center (Madrid), whose population is exclusively male.

MATERIAL AND METHOD

Quasi-experimental study based on 4 training sessions aimed at a group of 15 people with diabetes and poor metabolic control. The intervention was carried out by 4 health professionals from the center. An evaluation of knowledge before and after the training and an assessment of the analytical and anthropometric parameters 5 months after the training were carried out. An anonymous self-evaluation questionnaire was also completed by the participants.

RESULTS

After the intervention, a statistically significant reduction in weight, abdominal perimeter, glycosylated hemoglobin and diastolic blood pressure was obtained. The remaining parameters decreased non-significantly. The level of diabetes knowledge also improved significantly.

DISCUSSION

The group intervention had a high potency in relation to the introduction of short-term changes in the group of patients with poor metabolic control.

摘要

目的

治疗教育是糖尿病治疗方法的基石之一。本研究的目的是评估在马德里 III-Valdemoro 监狱中心(马德里)的 15 名代谢控制不良的糖尿病患者中进行小组治疗性患者教育的效果,该中心的囚犯全部为男性。

材料和方法

这是一项基于 4 次培训课程的准实验研究,针对 15 名代谢控制不良的糖尿病患者。干预由中心的 4 名卫生专业人员进行。在培训前后进行知识评估,并在培训 5 个月后评估分析和人体测量参数。参与者还完成了一份匿名的自我评估问卷。

结果

干预后,体重、腹围、糖化血红蛋白和舒张压均显著降低。其余参数虽无显著下降,但有所降低。糖尿病知识水平也显著提高。

讨论

小组干预对代谢控制不良的患者群体引入短期变化具有很高的效力。

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本文引用的文献

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Effectiveness of Therapeutic Patient Education Interventions in Obesity and Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.治疗性患者教育干预在肥胖和糖尿病中的有效性:一项随机对照试验的系统评价和荟萃分析。
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An Sist Sanit Navar. 2022 Apr 27;45(1):e0977. doi: 10.23938/ASSN.0977.
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The "Metabolic Memory" Theory and the Early Treatment of Hyperglycemia in Prevention of Diabetic Complications.“代谢记忆”理论与高血糖的早期治疗对预防糖尿病并发症的作用
Nutrients. 2017 Apr 28;9(5):437. doi: 10.3390/nu9050437.
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Effectiveness of diabetes education and awareness of diabetes mellitus in combating diabetes in the United Kigdom; a literature review.糖尿病教育及对糖尿病的认知在英国对抗糖尿病中的有效性;一项文献综述。
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Low Physical Activity and Its Association with Diabetes and Other Cardiovascular Risk Factors: A Nationwide, Population-Based Study.低体力活动及其与糖尿病和其他心血管危险因素的关联:一项基于全国人口的研究。
PLoS One. 2016 Aug 17;11(8):e0160959. doi: 10.1371/journal.pone.0160959. eCollection 2016.
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Concordance between two methods in measuring treatment adherence in patients with type 2 diabetes.两种方法在测量2型糖尿病患者治疗依从性方面的一致性。
Patient Prefer Adherence. 2016 May 4;10:743-50. doi: 10.2147/PPA.S105073. eCollection 2016.