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Development of and Assessment Algorithm and an Intervention Program based on Characteristics of Health Risk used for the Type 2 Diabetes Disease Management

用于 2 型糖尿病疾病管理的基于健康风险特征的评估算法和干预计划的开发

基本信息

批准号：
15390671
负责人：
MORIYAMA Michiko
金额：
$ 8.9万
依托单位：
Hiroshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2006
项目状态：
已结题

项目摘要

1. PurposeA 12-month-self-management program for type 2 Diabetes was developed, whose effects were examined at hospitals and in a community. At the community level, the possibility of a system was examined where the program was implemented by the insured through tertiary prevention.2. Method(1) Implementation at the hospitals: A randomized clinical trial was conducted with the subjects who were type 2 diabetes, were outpatients at two hospitals and gave consent to participating in the study. The program was implemented to the intervention group with a monthly interview of 30 minutes and a biweekly telephone monitoring. The outcome indicators measured were the goal achievement level, the behavioral transformation stages (diet and exercise), self-efficacy, QOL, HbA1c, weight, blood pressure, abdominal circumference, fasting blood sugar, triglyceride and total cholesterol.(2) Implementation in the community: A nonrandomized, before-after trial was conducted with the subjects who were comm … More unity residents, screened by abnormal glucose tolerance during the annual health check-up, type-2 diabetes and gave consent to participation in the study. The intervention method and the outcome indicators were the same as those for the medical institution.3. Results(1) Implementation at the medical institution: There were 50 subjects in the intervention group and 25 in the control group, of whom 8 from the former and 2 from the latter groups dropped out (the program completion rate 84.0%). At the baseline, 3-month, 6-month, 9-month and 12-month (end) points, there were statistically significant interactions between the HbA1c value and self-efficacy. Differences between the two groups were significant in terms of the dietary stage and QOL. There were significant within-group differences between the weight, HbA1c, dietary and exercise stages, and self-efficacy. There was a less-than-10% significant differences between the diastolic pressure, T-cho and QOL. In terms of diachronic change, significant differences were observed only for the interventional group, where significant improvements were observed for the weight, abdominal circumference, HbA1c, diastolic pressure, dietary stage, QOL, and self-efficacy.(2) Implementation in the community : There were 33 individuals signed up for the program with one person dropping out because of development of complications and being considered ineligible for the study. There was a significant statistical improvement for all the indicators, particularly the abdominal circumference, QOL, self-efficacy, and dietary and exercise stages. Collaboration with the medical institution was very good, and advantages were observed in terms of implementation by the insured through tertiary prevention. Less

1.目的制定一套为期12个月的2型糖尿病自我管理方案，并在医院和社区进行效果检验。在社区一级，研究了由被保险人通过三级预防实施该计划的系统的可能性。方法(1)医院实施：对两家医院门诊的2型糖尿病患者进行随机临床试验，并同意参与研究。对干预组实施每月访谈30分钟，两周一次的电话监测。测量的结果指标是目标实现水平、行为转变阶段(饮食和锻炼)、自我效能、生活质量、糖化血红蛋白、体重、血压、腹围、空腹血糖、甘油三酯和总胆固醇。(2)社区实施：对…的受试者进行非随机的前后试验更多的单位居民，在每年的健康检查中进行糖耐量异常筛查，患有2型糖尿病，并同意参与这项研究。干预方法和结果指标与医疗机构相同。结果(1)医疗机构实施情况：干预组50人，对照组25人，其中8人退出，2人退出(计划完成率84.0%)。在基线、3个月、6个月、9个月和12个月(结束)点，糖化血红蛋白与自我效能之间存在显著的交互作用。两组在饮食阶段和生活质量方面有显著差异。在体重、糖化血红蛋白、饮食和锻炼阶段以及自我效能感方面，组内差异显著。舒张压、T-CHO和QOL之间有不到10%的显著差异。在历时变化方面，只有干预组观察到显著差异，在体重、腹围、糖化血红蛋白、舒张压、饮食阶段、生活质量和自我效能方面有显著改善。(2)社区实施：有33人报名参加该计划，1人因并发症而退出，被认为不符合研究条件。所有指标都有显著的统计学改善，特别是腹围、生活质量、自我效能、饮食和锻炼阶段。与医疗机构的合作非常好，在通过三级预防由参保人实施方面看到了优势。较少

项目成果

期刊论文数量（30）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

「糖尿病」のアウトカムマネジメントとディジーズマネジメント

糖尿病结果管理和疾病管理

DOI：
发表时间：
2006
期刊：
臨床看護 32.4
影响因子：
0
作者：
Michiko Moriyama;Yuriko Kuroe;Tomonori Hasegawa;et. al.;Michiko Moriyama;五十嵐由希子;高見知世子
通讯作者：
高見知世子

疾病管理とディジーズマネジメント

疾病控制和疾病管理

DOI：
发表时间：
2006
期刊：
臨床看護 32・4
影响因子：
0
作者：
Chiyoko Takami;Michiko Moriyama;Kazuko Nm;et. al.;Michiko Moriyama;五十嵐由希子;高見知世子;森山美知子
通讯作者：
森山美知子

Outcome management and disease management for type 2 diabetes

2 型糖尿病的结果管理和疾病管理

DOI：
发表时间：
2006
期刊：
The Japanese Journal of Clinical Nursing 32(4)
影响因子：
0
作者：
Yukiko Igarashi;Masumi Nakano;Takashi Nakaya;Michiko Moriyama;Chiyoko Takami
通讯作者：
Chiyoko Takami

疾病管理の観点に立った患者特性に応じた2型糖尿病のアセスメント・アルゴリズムの開発

从疾病管理的角度开发根据患者特征的2型糖尿病评估算法