对 2 型糖尿病患者控制血糖进行有效的自我保健干预。

IF 0.4 4区 医学
Iranian Red Crescent Medical Journal Pub Date : 2014-12-18 eCollection Date: 2014-12-01 DOI:10.5812/ircmj.8311
Iraj Zareban, Shamsodina Niknami, Alireza Hidarnia, Fatemeh Rakhshani, Mohsen Shamsi, Mahmood Karimy
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引用次数: 0

摘要

背景:糖尿病是最常见的疾病之一,需要终身自我护理以提高生活质量:本研究旨在确定自我保健教育计划对降低 2 型糖尿病患者 HbA1c 的影响:本实验研究以伊朗扎黑丹市 138 名女性 2 型糖尿病患者为对象。数据通过自制问卷收集,其中包括人口统计学、认知、信念和自我护理行为等项目。在进行教育干预之前,两组患者都填写了(HbA1c)测试核对表。然后,在一个月内对干预组进行了五次 60 分钟的培训。培训结束三个月后,两组患者根据检查表再次进行数据收集。数据使用 SPSS 软件进行分析:教育组的认知、信念和自我护理行为的平均得分分别为(46.6 ± 8.57)、(46.5 ± 0.86)和(29.06 ± 10.02);结果发现,教育后,干预组和对照组的知识、态度和自我护理得分均显著增加(P < 0.001)。 培训前,干预组和对照组的自我护理、信念和认知得分均低于平均水平。此外,患者的 HbA1c 水平高于正常水平。干预后,干预组的自我护理和 HbA1c 平均值明显低于对照组(P < 0.001):自我保健培训指导改善了研究对象的知识、态度和表现,也改善了平均 HbA1c。因此,护士和医护人员应接受相应的教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effective intervention of self-care on glycaemia control in patients with type 2 diabetes.

Background: Diabetes is one of the most common diseases, which requires lifelong self-care to improve the quality of life.

Objectives: The current study aimed to determine the impact of self-care education programs on reducing HbA1c in patients with type 2 diabetes.

Patients and methods: The current experimental study was conducted on 138 female patients with type 2 diabetes in Zahedan city, Iran. The data were collected by a self-administered questionnaire which included items on demographics, awareness, beliefs, Self-care behaviors. Before the educational intervention, the (HbA1c) test check list was completed for the patients in both groups. Then the training was applied for the intervention group in five 60-minute educational sessions within one month. Three months following the training, the data collection based on the check list was repeated for both groups. Data were analyzed using SPSS software.

Results: The mean scores of awareness, beliefs, Self-care behaviors of the educational group, were 46.6 ± 8.57, 46.5 ± 0.86 and 29.06 ± 10.02, respectively; and it was found that after the education, knowledge, attitude, and self-care scores increased significantly (P < 0.001 Before the training, the scores of self-care, beliefs, and awareness were less than average in the intervention and control groups. In addition, the levels of HbA1c in the patients were higher than the normal levels. Following the intervention, the mean of self-care and HbA1c of the intervention group significantly reduced as compared with those of the control group (P < 0.001).

Conclusions: Self-care training instructions led to improve knowledge, attitude, and performance of the subjects under study and also the average HbA1c. Therefore, the nurses and health care staff should be educated accordingly.

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来源期刊
Iranian Red Crescent Medical Journal
Iranian Red Crescent Medical Journal 医学-医学:内科
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期刊介绍: The IRANIAN RED CRESCENT MEDICAL JOURNAL is an international, English language, peer-reviewed journal dealing with general Medicine and Surgery, Disaster Medicine and Health Policy. It is an official Journal of the Iranian Hospital Dubai and is published monthly. The Iranian Red Crescent Medical Journal aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and Surgery
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