Paulozzi L J, Norman J E, McMahon P, Connell F A
Public Health Rep. 1984 Nov-Dec;99(6):575-9.
This study is the first part of an evaluation of a model program of education on diabetes mellitus for diabetic outpatients, currently in progress in Washington State. The program consists of 16 hours of education, covering all aspects of self-care, with an emphasis on the prevention of unnecessary morbidity from poor control of the disorder or from infections. Eighty-eight percent of participants included in this study had not had formal diabetes education since receiving their diagnosis. The average duration of participants' diabetes was more than 7 years, and their average age was 55 years. Participants were evaluated just before and 3 months after the education program. During this interval, they made significant improvements in their knowledge of diabetes and their attitudes toward and skills in managing the disorder, as well as in their degree of satisfaction with control. Moreover, their random blood glucose and glycosylated hemoglobin (Hb Alc) levels were significantly lower at the 3-month followup. The authors suggest that outpatient education offers a significant improvement in diabetic control.
本研究是对华盛顿州目前正在进行的糖尿病门诊患者糖尿病教育示范项目评估的第一部分。该项目包括16小时的教育内容，涵盖自我护理的各个方面，重点是预防因疾病控制不佳或感染导致的不必要发病。本研究纳入的参与者中，88%自确诊以来未接受过正规的糖尿病教育。参与者患糖尿病的平均时长超过7年，平均年龄为55岁。在教育项目开始前及结束3个月后对参与者进行评估。在此期间，他们在糖尿病知识、对疾病管理的态度和技能以及对病情控制的满意度方面都有显著改善。此外，在3个月随访时，他们的随机血糖和糖化血红蛋白（Hb Alc）水平显著降低。作者认为门诊教育能显著改善糖尿病控制情况。
