Improving diabetes self-management and control through individualized patient counseling: A quasi-experimental study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1951_23
M Yogesh, Jay Nagda, Dhruvam L Babaria, Swati Misra
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引用次数: 0

Abstract

Background: Diabetes is one of the most common chronic diseases, affecting a large proportion of the global population. This study aims to evaluate the effects of individualized patient counseling on diabetes self-management.

Materials and methods: This quasi-experimental study utilized a non-randomized two-arm pre-post design. It was conducted at the out-patient clinics of a tertiary care hospital, Gujarat, from February 2023 to August 2023. There were 300 type 2 diabetes patients who belonged to an intervention group receiving 3 monthly 30-minute individualized counseling sessions (n = 150) or a control group continuing usual care (n = 150). Assessments at baseline and 3 months post-intervention compared treatment effects. The outcomes measured were diabetes knowledge, attitudes/beliefs, medication/lifestyle adherence, self-reported quality of life, blood pressure (BP), and HbA1c. The intervention covered medication and lifestyle guidance, self-monitoring skills, barrier identification, and problem-solving with a focus on patient empowerment. The analysis compared within- and between-group changes.

Results: At 3 months, counseled patients showed significantly greater improvements in knowledge (difference 13.6 points), self-care abilities (lifestyle adherence difference 6.6 points), 5.9 mmHg extra drop in systolic BP, and 0.6% higher HbA1c reduction versus controls (all P < 0.05). Greater knowledge gain is strongly correlated with improved HbA1c (r = 0.42). Patients reported medication counseling as the most useful and cost and cultural dietary habits as key ongoing barriers.

Conclusion: Individualized counseling promoted better self-management behaviors, improved clinical measures, and subjective well-being in diabetes patients versus usual care alone. Routine Counseling should be considered to complement medical management in high-risk chronic diseases.

通过个体化患者咨询改善糖尿病自我管理和控制:一项准实验研究。
背景:糖尿病是最常见的慢性疾病之一,影响着全球很大一部分人口。本研究旨在评估个体化患者咨询对糖尿病自我管理的影响。材料和方法:本准实验研究采用非随机双臂前后设计。该调查于2023年2月至2023年8月在古吉拉特邦一家三级保健医院的门诊诊所进行。300名2型糖尿病患者分为干预组(n = 150)和对照组(n = 150),干预组每月接受3次30分钟的个体化咨询。基线和干预后3个月的评估比较了治疗效果。测量的结果包括糖尿病知识、态度/信念、药物/生活方式依从性、自我报告的生活质量、血压(BP)和HbA1c。干预措施包括药物和生活方式指导、自我监控技能、障碍识别和以患者赋权为重点的问题解决。分析比较了组内和组间的变化。结果:3个月时,与对照组相比,接受咨询的患者在知识(差异13.6分)、自我护理能力(生活方式依从性差异6.6分)、收缩压额外下降5.9 mmHg、HbA1c降低0.6%方面均有显著性改善(均P < 0.05)。知识的增加与HbA1c的改善密切相关(r = 0.42)。患者报告药物咨询是最有用的,而成本和文化饮食习惯是主要的持续障碍。结论:与常规护理相比,个体化咨询促进了糖尿病患者更好的自我管理行为,改善了临床措施和主观幸福感。应考虑常规咨询,以补充医疗管理的高风险慢性疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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