당뇨병 환자를 위한 지역사회 중심 자조관리 프로그램의 효과 (The Effect of a Community-Based Selp-Help Management Program for Patients with Diabetes Mellitus)

서지정보

· 발행기관 : 한국지역사회간호학회
· 수록지 정보 : 지역사회간호학회지 / 20권 / 3호 / 307 ~ 315페이지
· 저자명 : 김은영, 소애영

초록

Purpose: This study aimed to assess the effects of self-help intervention on clinical, lifestyle and psycho-social
outcomes in patients with type II diabetes. Methods: Eligible adults with type II diabetes were randomly assigned
to receive either diabetes self-help group intervention (intervention group) or usual care (control group). Of the
36 patients who completed the study, 15 were in the diabetes self-help group intervention and 21 were in the
usual care only. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care for
continuing education, discussion, and structured social activities. Outcomes included changes in glycemic
control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of
life. We used the analysis of covariance to compare outcomes between groups adjusting for baseline measures.
Results: Significant improvements from baseline to 6 weeks were observed in measures of self-management
behaviors, diabetes- related self-efficacy, and health-related quality of life in the intervention group. Conclusions:
The findings provide preliminary evidence that diabetes self-help group intervention can have benefits on
self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for diabetes patients.
However, larger longitudinal studies are needed to determine the most efficacious self-management method to
sustain long-term glycemic control and psychological well-being.

영어초록

Purpose: This study aimed to assess the effects of self-help intervention on clinical, lifestyle and psycho-social
outcomes in patients with type II diabetes. Methods: Eligible adults with type II diabetes were randomly assigned
to receive either diabetes self-help group intervention (intervention group) or usual care (control group). Of the
36 patients who completed the study, 15 were in the diabetes self-help group intervention and 21 were in the
usual care only. The self-help group consisted of six weekly sessions covering aspects of diabetes self-care for
continuing education, discussion, and structured social activities. Outcomes included changes in glycemic
control, knowledge, self-management behaviors, diabetes-related self-efficacy, and health-related quality of
life. We used the analysis of covariance to compare outcomes between groups adjusting for baseline measures.
Results: Significant improvements from baseline to 6 weeks were observed in measures of self-management
behaviors, diabetes- related self-efficacy, and health-related quality of life in the intervention group. Conclusions:
The findings provide preliminary evidence that diabetes self-help group intervention can have benefits on
self-management behaviors, diabetes-related self-efficacy, and health-related quality of life for diabetes patients.
However, larger longitudinal studies are needed to determine the most efficacious self-management method to
sustain long-term glycemic control and psychological well-being.

참고자료

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