Educational program to promote the self-care of people with diabetes mellitus

M. G. S. Cavicchioli, Tarcila Beatriz Ferraz De Campos, A. Rosa, Edvane Birelo Lopes De Domenico, Giovana Andrade Frederico, Odete de Oliveira Monteiro, M. Gamba
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Abstract

Objective: to evaluate the effect of an intervention program on the capacity and action for the self-care of people with diabetes mellitus.Method: this is an intervention study with the implementation of a problem-solving educational program in diabetes in a private health service. Capacity and action scales were applied for the self-care, in the initial moment and after the  intervention with analysis of the outcome by the metabolic control. Differences were identified by the Student t test and the comparison of the scales variability calculated by Cronbach's alpha, with a 95 % confidence interval.Results: participated in the study 23 people, with significant improvement in the values of glycated hemoglobin, glycemic and diastolic blood pressure variability after the educationalprogram. The educational strategy in diabetes provided improvement in both capacity and action for self-care,respectively (p ≤ 0.0 %), Cronbach’s alpha initial 0.895 and final 0.938 Conclusion: education programs using participatory methodologies are essential to enable the person with diabetes to manage and monitor the disease.
促进糖尿病患者自我保健的教育计划
目的:评价干预方案对糖尿病患者自我保健能力和行为的影响。方法:这是一项干预研究,在私立卫生服务机构实施糖尿病问题解决教育计划。采用能力和行动量表进行自我护理、干预初期和干预后,并通过代谢控制对结果进行分析。差异通过Student t检验和Cronbach's alpha计算的量表变异性比较来确定,置信区间为95%。结果:参与研究的23人,经教育项目后糖化血红蛋白值、血糖值和舒张压变异性均有明显改善。糖尿病患者的教育策略分别改善了自我护理的能力和行动(p≤0.0%),Cronbach’s alpha初始值为0.895,最终值为0.938。结论:采用参与式方法的教育计划对于糖尿病患者管理和监测疾病至关重要。
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