Mona Hamdy Soliman, Roqaya Ali Alqahtani, Bashyer Alhothali, Soulaf Alsaeed, Soha Aly Elmorsy
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引用次数: 1
摘要
目的/假设:本研究旨在检验健康指导和教育对2型糖尿病HbA1c控制的影响。方法:我们招募了123名受试者;(对照组61例,干预62例)。这项随机对照试验比较了常规护理和需要健康指导技能的干预。纳入标准如下:年龄18岁,HbA1c 6.5及以上,诊断为2型糖尿病。数据是从基线和三个月随访后的结果测量中收集的。主要终点为HbA1c;次要终点是BMI(身体质量指数)。数据采用线性回归分析。结果:干预组患者HbA1c(糖尿病授权量表)改善显著,与对照组相比平均差异1.78% (p=0.032), BMI下降显著(与对照组相比平均差异0.9 kg/m, p <0.001)。结论:糖尿病健康指导在促进自我保健、行为改变和提供频繁的随访和支持方面具有重要作用。对糖尿病患者进行健康指导是改善血糖控制的有效干预手段。
The Effect of Health Coaching and Education on the Control of Type 2 Diabetes: A Randomized Controlled Trial
Aims/hypothesis: This study aims to test the effect of health coaching and education on the control of Type 2 diabetes in terms of HbA1c. Methods: We enrolled 123 participants; (61 control and 62 intervention). This randomized controlled trial compared usual care with an intervention that entailed health-coaching skills. The inclusion criteria as follows: age 18 years, HbA1c 6.5 or more and diagnosed with Type 2 diabetes. The data were collected from the outcome measures at baseline and after three months of follow up. The primary outcome was HbA1c; secondary outcome was BMI (Body Mass Index). The data were analyzed using linear regression. Results: The participants in the intervention group had significant improvements in HbA1c (Diabetes Empowerment Scale, with a mean difference of 1.78 % compared to that of the control group (p=0.032) and a decrease in BMI (with a mean difference of 0.9 kg/m compared to that of the control group, p <0.001). Conclusions: Diabetes health coaching has an Major role in healthcare that facilitates self-care, behavior change and offers frequent follow up and support. Health coaching for those with diabetes is an effective intervention for improving glycemic control.