家庭健康护士模式对中年糖尿病前期患者血糖控制的影响：一项随机临床试验（RCT）。

The effect of a family health nurse model on blood sugar control in middle-aged prediabetics: a randomized clinical trial (RCT).

作者信息

Afshari Atefeh, Keshvari Mahrokh, Farajzadegan Ziba, Azadmanesh Mohammad

机构信息

Department of Community Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Community Health Nursing, Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Nurs. 2025 Aug 19;24(1):1086. doi: 10.1186/s12912-025-03752-z.

DOI:10.1186/s12912-025-03752-z

PMID:40830873

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12362990/

Abstract

BACKGROUND

Prediabetes is a reversible condition, and timely interventions can prevent long-term complications. Family support is crucial in managing this condition. This study evaluated the impact of a family health nurse (FHN) model for blood sugar control in middle-aged prediabetic individuals.

METHOD

This study adheres to the CONSORT 2010 statement guidelines. This study is a clinical trial involving 72 prediabetic middle-aged individuals from health service centers in Isfahan in 2023. The participants were selected through convenience sampling on the basis of the inclusion criteria and randomly assigned to the intervention or control groups. Data collection included a glucose meter, a calibrated scale, a demographic information form, and blood tests for HbA1c and fasting blood sugar (FBS). 15 training sessions based on the FHN model were conducted for the intervention group. Assessments were conducted before the intervention and three months later. The data were analyzed via SPSS with descriptive and inferential statistics.

RESULTS

The research findings indicated no significant difference in FBS or HbA1c levels between the two groups before the FHN model was implemented ( > 0.05). However, significant differences were observed immediately after the intervention and three months after the intervention ( < 0.001). Results showed that the mean hemoglobin A1c score in the intervention group decreased from 5.41 mmol/L before the intervention to 5.27 mmol/L three months later (p value < 0.05). In the control group, the mean score increased from 5.88 mmol/L to 6.05 mmol/L, but this change was not statistically significant (p value > 0.05). These results highlight the potential of the family health nurse model to improve blood sugar control in prediabetic individuals.

CONCLUSION

This study indicates that a family-centered intervention using the FHN model can effectively enhance healthy lifestyle behaviors and blood sugar levels in prediabetic patients. These findings suggest that the model may be helpful for researchers and health practitioners, and we recommend its evaluation and implementation in broader communities.

CLINICAL TRIAL REGISTRATION

This research was registered (26/07/2023) in the https://www.irct.ir with registration number: IRCT20230516058206N1).

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1186/s12912-025-03752-z.

摘要

背景

糖尿病前期是一种可逆的状况，及时干预可预防长期并发症。家庭支持在管理这种状况方面至关重要。本研究评估了家庭健康护士（FHN）模式对中年糖尿病前期个体血糖控制的影响。

方法

本研究遵循CONSORT 2010声明指南。这是一项临床试验，于2023年纳入了来自伊斯法罕健康服务中心的72名中年糖尿病前期个体。参与者根据纳入标准通过便利抽样选取，并随机分配至干预组或对照组。数据收集包括血糖仪、校准秤、人口统计学信息表以及糖化血红蛋白（HbA1c）和空腹血糖（FBS）的血液检测。对干预组进行了基于FHN模式的15次培训课程。在干预前和三个月后进行评估。数据通过SPSS进行描述性和推断性统计分析。

结果

研究结果表明，在实施FHN模式之前，两组的FBS或HbA1c水平无显著差异（>0.05）。然而，在干预后即刻和干预三个月后观察到了显著差异（<0.001）。结果显示，干预组的平均糖化血红蛋白得分从干预前的5.41 mmol/L降至三个月后的5.27 mmol/L（p值<0.05）。在对照组中，平均得分从5.88 mmol/L升至6.05 mmol/L，但这种变化无统计学意义（p值>0.05）。这些结果凸显了家庭健康护士模式在改善糖尿病前期个体血糖控制方面的潜力。