Efficacy of a self-management education program for people with type 2 diabetes: Results of a 12 month trial
Efficacy of a self-management education program for people with type 2 diabetes: Results of a 12 month trial
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DOI：
10.1111/j.1742-7924.2009.00120.x
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发表时间：
2009-01-01
影响因子：
1.7
通讯作者：
Nakaya, Takashi
中科院分区：
文献类型：
--
作者：
Moriyama, Michiko;Nakano, Masumi;Nakaya, Takashi
目的：加强患者自我管理能力的患者教育对改善慢性病患者的预后至关重要。在前6个月的基础上，我们制定了为期12个月的2型糖尿病自我管理教育方案，并对其效果进行了检验。方法：对两家医院符合标准并同意参加的2型糖尿病患者进行随机对照试验。他们被随机分为干预组和对照组，干预组遵循程序，对照组遵循常规的临床实践。结果：干预组50名参与者和对照组25名参与者中，分别有42人和23人完成了项目，完成率为84.0%。经双向重复测量方差分析，体重、糖化血红蛋白、自我效能感、饮食和运动阶段、生活质量、舒张压和总胆固醇水平显著。至于组内随时间的变化，只有干预组通过弗里德曼检验显示出显著差异。干预组并发症预防行为实施率较高。结论：自我管理教育对患者的行为矫正技能、目标实现程度和自我效能感有显著的促进作用，从而改善了患者的健康状况。
Aim:Patient education that enhances one's self-management ability is of utmost importance for improving patient outcomes in chronic diseases. We developed a 12 month self-management education program for type 2 diabetes, based on a previous 6 month program, and examined its efficacy.Methods:A randomized controlled trial was carried out on outpatients with type 2 diabetes from two hospitals who met the criteria and gave consent to participate. They were randomly divided into an intervention group that followed the program and a control group that followed usual clinical practise. The intervention group received < 30 min of monthly interviews based on the program's textbook and biweekly telephone calls from a nurse educator throughout the 12 months.Results:Of the 50 participants in the intervention group and the 25 participants in the control group, 42 and 23, respectively, completed the program (a completion rate of 84.0%). The body weight, HbA1c, self-efficacy, dietary and exercise stages, quality of life, diastolic blood pressure, and total cholesterol level were significant by two-way repeated-measures anova. As for changes over time within the groups, only the intervention group showed significant differences by Friedman's test. The complication prevention behaviors showed a high implementation rate in the intervention group. The overall evaluation of this program by the participants was very high and, therefore, they highly recognized the need for this type of program.Conclusions:Self-management education works successfully in relation to patients' behavior modification skills, degree of goal attainment, and self-efficacy, consequently improving their health outcomes.