在社区医院实施自我护理缺陷评估和护士领导的支持性教育计划,以改变行为和降低HbA1c:一个集群随机对照试验
Piyanat Changsieng1, Panan Pichayapinyo1, Sunee Lagampan1
1Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
Journal of primary care & community health
|June 19, 2023
概括
一个由护士领导的支持性教育计划显著改善了泰国成年人患有不受控制的2型糖尿病的血糖控制和自我护理技能. 这种干预增强了知识,行为和HbA1c水平,证明了其在社区环境中的有效性.
科学领域:
- 护理 护理 护理
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 失控的2型糖尿病的患病率正在上升.
- 护士是缺乏医疗保健专业人员的社区环境中的关键提供者.
- 需要可行的,护士为血糖控制提供干预措施.
研究的目的:
- 评估泰国成人患有失控糖尿病的自我护理能力.
- 评估护士领导的支持性教育计划对自我护理技能,行为和HbA1c的影响.
- 确定该计划在加强血糖控制方面的有效性.
主要方法:
- 多社区医院集群随机对照试验.
- 120名HbA1c7-10%的成年人随机分配到实验 (护士主导的教育) 或控制 (常规护理) 组.
- 用于自我护理缺陷评估和支持教育护理计划的奥伦理论框架;在基线,4周和12周收集的数据.
主要成果:
- 103名参与者完成了试验.
- 实验组在12周内显示出HbA1c,禁食血葡萄糖,知识,自我护理机构,饮食,体力活动和坚持水平的显著改善.
- 组间比较的效应大小为0.49或更大.
结论:
- 护士主导的支持性教育和自我护理缺陷评估对于改善知识和行为至关重要.
- 这项干预措施有效地提高了HbA1c水平在没有控制血糖的成年人.
- 该计划提供了一种可行的方法,以改善社区环境中的糖尿病管理.
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