Anderson R M, Funnell M M, Butler P M, Arnold M S, Fitzgerald J T, Feste C C
University of Michigan Medical School, Ann Arbor 48109-0201, USA.
Diabetes Care. 1995 Jul;18(7):943-9. doi: 10.2337/diacare.18.7.943.
The purpose of this study was to determine if participation in a patient empowerment program would result in improved psychosocial self-efficacy and attitudes toward diabetes, as well as a reduction in blood glucose levels.
This study was conducted as a randomized, wait-listed control group trial. The intervention group received a six-session (one session per week) patient empowerment education program; the control group was assigned to a wait-list. At the end of 6 weeks, the control group completed the six-session empowerment program. Six weeks after the program, both groups provided follow-up data.
The intervention group showed gains over the control group on four of the eight self-efficacy subscales and two of the five diabetes attitude subscales. Also, the intervention group showed a significant reduction in glycated hemoglobin levels. Within groups, analysis of data from all program participants showed sustained improvements in all of the self-efficacy areas and two of the five diabetes attitude subscales and a modest improvement in blood glucose levels.
This study indicated that patient empowerment is an effective approach to developing educational interventions for addressing the psychosocial aspects of living with diabetes. Furthermore, patient empowerment is conducive to improving blood glucose control. In an ideal setting, patient education would address equally blood glucose management and the psychosocial challenges of living with diabetes.
本研究旨在确定参与患者赋权计划是否会提高心理社会自我效能感、改善对糖尿病的态度，并降低血糖水平。
本研究作为一项随机、候补对照组试验进行。干预组接受了为期六周（每周一次）的患者赋权教育计划；对照组被列入候补名单。在6周结束时，对照组完成了为期六周的赋权计划。计划结束六周后，两组均提供了随访数据。
干预组在八个自我效能感分量表中的四个以及五个糖尿病态度分量表中的两个上比对照组有进步。此外，干预组糖化血红蛋白水平显著降低。在组内，对所有计划参与者的数据进行分析显示，所有自我效能感领域以及五个糖尿病态度分量表中的两个都有持续改善，血糖水平也有适度改善。
本研究表明，患者赋权是制定教育干预措施以解决糖尿病患者心理社会问题的有效方法。此外，患者赋权有助于改善血糖控制。在理想情况下，患者教育应同样关注血糖管理以及与糖尿病共存的心理社会挑战。
