Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study
Diabetes education and self-management for ongoing and newly diagnosed (DESMOND): Process modelling of pilot study
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DOI：
10.1016/j.pec.2006.04.007
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发表时间：
2006-12-01
影响因子：
3.5
通讯作者：
Oliver, Lindsay
中科院分区：
文献类型：
--
作者：
Skinner, T. Chas;Carey, Marian E.;Oliver, Lindsay
目的：确定结构化教育计划对新诊断2型糖尿病患者的疾病信念、生活质量和身体活动的影响。方法：在12个初级保健信托基金中参加糖尿病教育和正在进行的和新诊断的糖尿病自我管理（DESMOND）计划的个人完成了基线和3个月随访时评估疾病信念和生活质量的问卷小册子，结果：236名患者参加了自我管理教育课程，完成基线调查问卷的97%和完成3个月随访问卷的64%。在3个月时，个体更有可能：了解他们的糖尿病;同意这是一种慢性疾病;同意这是一种严重的疾病，并且他们可以影响其病程。在前3个月内实现HbA 1c更大幅度降低的个体更有可能同意他们可以在3个月内控制糖尿病（r = 0.24; p = 0.05），并且不太可能同意糖尿病会对他们的日常生活产生重大影响（r = 0.35; p = 0.006）。试点数据表明，针对新诊断为2型糖尿病的个体的DESMOND计划改变了关键的疾病信念，这些变化预测了3- 10岁时的生活质量和代谢控制。一个月的后续行动。实践的影响：新诊断的个人是开放的参加自我管理计划，如果该计划是理论上的驱动，可以成功地与真正的，严重的糖尿病的性质。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To determine the effects of a structured education program on illness beliefs, quality of life and physical activity in people newly diagnosed with Type 2 diabetes.Methods: Individuals attending a diabetes education and self-management for ongoing and newly diagnosed (DESMOND) program in 12 Primary Care Trusts completed questionnaire booklets assessing illness beliefs and quality of life at baseline and 3-month follow-up, metabolic control being assessed through assay of HbA1c.Results: Two hundred and thirty-six individuals attended the structured self-management education sessions, with 97% and 64% completing baseline and 3-month follow-up questionnaires. At 3 months, individuals were more likely to: understand their diabetes; agree it is a chronic illness; agree it is a serious condition, and that they can affect its course. Individuals achieving a greater reduction in HbA1c over the first 3 months were more likely to agree they could control their diabetes at 3 months (r = 0.24; p = 0.05), and less likely to agree that diabetes would have a major impact on their day to day life (r = 0.35; p = 0.006).Conclusion: Pilot data indicate the DESMOND program for individuals newly diagnosed with Type 2 diabetes changes key illness beliefs and that these changes predict quality of life and metabolic control at 3-month follow-up.Practice implications: Newly diagnosed individuals are open to attending self-management programs and, if the program is theoretically driven, can successfully engage with the true, serious nature of diabetes. (c) 2006 Elsevier Ireland Ltd. All rights reserved.