Education and telephone case management for children with type 1 diabetes: a randomized controlled trial.
Education and telephone case management for children with type 1 diabetes: a randomized controlled trial.
复制标题
DOI：
10.1016/j.pedn.2004.12.010
复制
发表时间：
2005-04-01
期刊：
影响因子：
--
通讯作者：
Murphy, Kathryn M
中科院分区：
文献类型：
--
作者：
Howe, Carol J;Jawad, Abbas F;Murphy, Kathryn M
本研究的目的是比较三种护理干预措施及其对I型糖尿病儿童血糖控制的影响。75例受试者的平均+/- SD年龄为12.5 +/- 3.4岁，55%为男孩，55%为白色。受试者被随机分配到标准治疗（SC）、教育（艾德）或教育和电话病例管理（艾德+ TCM）组。主要结果指标是血糖控制（血红蛋白A1 c或HbA 1c）。次要结局指标为糖尿病知识（KNOW）、亲子团队合作（TEAM）和依从性（ADH）。随访6个月后，结果显示各组之间HbA 1c无显著差异。艾德组和艾德+中医组的KNOW和TEAM评分略有改善，但三组间差异无统计学意义。与艾德和SC组相比，艾德+ TCM组的ADH评分显著改善。这一变化可能代表了改善糖尿病护理依从性和随后改善糖尿病控制的趋势。还将讨论本研究中受试者招募和保留的挑战。
The purpose of the study was to compare three nursing interventions and their impact on glycemic control among children with type I diabetes. The 75 subjects' mean +/- SD age was 12.5 +/- 3.4 years, 55% were boys, and 55% were White. Subjects were randomly assigned to a standard care (SC), an education (ED), or an education and telephone case management (ED + TCM) group. The primary outcome measure was glycemic control (hemoglobin A1c, or HbA1c). Secondary outcome measures were diabetes knowledge (KNOW), parent-child teamwork (TEAM), and adherence (ADH). After 6 months of follow-up, results demonstrated no significant differences among groups in HbA1c. KNOW and TEAM scores improved slightly in the ED and ED + TCM groups, but no statistically significant differences were found among the three groups. Significant improvement in ADH scores among ED + TCM groups was reported when compared with the ED and SC groups. This change may represent a move toward improved adherence to diabetes care and subsequent improvement in diabetes control. The challenges of recruitment and retention of subjects in this study will also be discussed.