Improved control of type 2 diabetes mellitus: a practical education/behavior modification program in a primary care clinic.

Improved control of type 2 diabetes mellitus: a practical education/behavior modification program in a primary care clinic.
复制标题

改善 2 型糖尿病的控制：初级保健诊所的实用教育/行为矫正计划。

DOI：
10.1097/00007611-199907000-00004
复制
发表时间：
1999
期刊：
Southern medical journal
影响因子：
1.1
通讯作者：
Opal Gose
Opal Gose
中科院分区：
医学4区
文献类型：
--
作者：
Nathan A. Ridgeway;Donald Harvill;Leo M. Harvill;Thelma Falin;Gayle Forester;Opal Gose

文献摘要

被引文献

相似文献

背景 本研究旨在确定由一名护士和一名营养师在初级保健诊所提供的教育/行为矫正课程的有效性和易用性，以改善2型糖尿病的控制。 方法 将患者随机分为两组。18名患者完成了6个月的结构化，办公室为基础的类，和20名类似的患者作为对照组。所有患者都是同一组的患者，并进行了常规的办公室访问。在6个月期间监测血糖控制、血脂水平、体重、糖尿病知识、药物需求和症状，并在12个月时进行随访。 结果 在6个月结束时，干预组的平均空腹血糖、糖化血红蛋白、总胆固醇和低密度脂蛋白胆固醇（LDL-C）值显著降低。他们的平均体重在12个月时显著降低，他们对糖尿病的认识也得到了提高。对照组患者仅在6个月时糖化血红蛋白和体重有显著改善。需要最少的医生时间。 结论 教育/行为矫正计划在临床上是有价值的，而且很容易管理。
BACKGROUND This study was done to determine the efficacy and ease of administration of education/behavior modification classes, provided by a nurse and a dietitian in a primary care clinic for improving control of type 2 diabetes mellitus. METHODS Patients were divided randomly into two groups. Eighteen patients completed 6 months of structured, office-based classes, and 20 similar patients served as control subjects. All were patients of the same group practice and had their usual office visits. Glycemic control, lipid levels, body weight, knowledge about diabetes, medication requirements, and symptoms were monitored during the 6 months, with follow-up at 12 months. RESULTS At the end of 6 months, the intervention group had significant reductions in mean fasting blood glucose, glycosylated hemoglobin, total cholesterol, and low-density lipoprotein cholesterol (LDL-C) values. Their mean body weight was significantly reduced at 12 months, and their knowledge of diabetes was improved. Control patients had significant improvement only in glycosylated hemoglobin and body weight at 6 months. Minimal physician time was required. CONCLUSION The education/behavior modification program was clinically worthwhile, and it was easy to administer.