Comparison of family partnership intervention care vs. conventional care in adult patients with poorly controlled type 2 diabetes in a community hospital: A randomized controlled trial
Comparison of family partnership intervention care vs. conventional care in adult patients with poorly controlled type 2 diabetes in a community hospital: A randomized controlled trial
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DOI：
10.1016/j.ijnurstu.2010.03.009
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发表时间：
2010-11-01
影响因子：
8.1
通讯作者：
Chang, Wen-Yin
中科院分区：
文献类型：
--
作者：
Kang, Chun-Mei;Chang, Shu-Chuan;Chang, Wen-Yin
背景：虽然家庭支持程度与临床预后之间存在显著相关性，但很少有研究关注家庭伙伴关系干预护理（FPIC）对控制不佳的2型糖尿病患者的有效性。目的：本研究旨在比较FPIC与常规护理（CC）在控制不良的2型糖尿病患者的一系列结果指标。设计：本研究采用随机对照试验设计。参与者：仅接受口服降糖药治疗且控制不良的2型糖尿病患者，在过去12个月内至少有2 / 3的血红蛋白A1C读数等于或高于7%，被随机分配到FPIC组（n = 28）和CC组（n = 28）。方法：采用以下指标比较基线和6个月随访得分：(1)血红蛋白A1C， (2) BMI,(3)血脂，(4)家庭支持行为，(5)糖尿病知识和态度，(6)糖尿病自我护理行为。采用描述性和非参数统计来比较两组间结果测量的差异。结果：干预后6个月，两组患者在糖化血红蛋白水平降低（p = 0.46）、血脂值降低（p = 0.05）、糖尿病自我护理行为改善（p = 0.61）方面均无显著差异。但两组患者在家庭支持行为得分（p = 0.031）和患者对糖尿病的认知和态度得分上差异有统计学意义（p < 0.05）。结论：本研究结果支持FPIC可增强家庭支持行为，提高患者对糖尿病的认识和态度。因此，该研究有助于决策者制定更有效的糖尿病控制干预方案。(C) 2010 Elsevier Ltd.版权所有。
Background: Although there is a significant correlation between the degree of family support and clinical outcome, little research has focused on the effectiveness of family partnership intervention care (FPIC) for patients with poorly controlled type 2 diabetes.Objectives: This study aimed to compare FPIC with conventional care (CC) across a number of outcome measures in patients with poorly controlled type 2 diabetes.Design: The study was performed using a randomized controlled trial design.Participants: Patients with poorly controlled type 2 diabetes who were solely treated with oral antidiabetic agents and had at least two out of three hemoglobin A1C readings equal to or above 7% in the previous 12 months, were randomly assigned to the FPIC group (n = 28) and to the CC group (n = 28).Methods: Baseline and 6-month follow-up scores were compared using the following outcome measures: (1) hemoglobin A1C, (2) BMI, (3) lipid profile, (4) family supportive behaviours, (5), knowledge of and attitudes toward diabetes, and (6) diabetes self-care behaviours. Descriptive and non-parametric statistics were employed to compare differences in outcome measures between the groups.Results: There were no significant differences in the reduction of hemoglobin A1C levels (p = 0.46), lipid profile values (p > 0.05), and improvement of diabetes self-care behaviours (p = 0.61) between the groups at 6 months post-intervention. However, there were significant differences in the scores of family supportive behaviours (p = 0.031) and patients' knowledge of and attitudes toward diabetes between the groups (p < 0.05).Conclusion: These findings support the use of FPIC to enhance family supportive behaviours, and to improve patients' knowledge of and attitudes toward diabetes. Thus, the study is of value in helping policy decision-makers to develop more effective diabetes control intervention programmes. (C) 2010 Elsevier Ltd. All rights reserved.