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首页> 外文学位 >Evaluation of the 'Mastering your Diabetes' self management education program: Exploring the relationship between diabetes knowledge, patient self-efficacy and metabolic control.
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Evaluation of the 'Mastering your Diabetes' self management education program: Exploring the relationship between diabetes knowledge, patient self-efficacy and metabolic control.

机译：对“掌握糖尿病”自我管理教育计划的评估：探索糖尿病知识，患者自我效能与代谢控制之间的关系。

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摘要

Literature demonstrates an unclear relationship between diabetes-related knowledge, patient self-efficacy, and metabolic control in persons with insulin-dependent diabetes. The purpose of this study was to quantitatively examine if diabetes-related knowledge, self-efficacy and metabolic control could be improved following patient participation in the Mastering Your Diabetes (MYD) education program, and if a relationship between these variables exists. Using the transtheoretical model and a prospective longitudinal quasi-experimental design, a non-randomized sample of 18 comparison and 41 MYD patients was evaluated before and after the MYD program. Patients were followed at 3, 6, and 12 months thereafter for metabolic control (by Hemoglobin A1c), and knowledge and self-efficacy (by four different diabetes-specific psychometric instruments). The transtheoretical model allowed for assessment of different stages of readiness for behavioral change in study participants. Linear mixed-model regression was used to assess differences in each outcome measure between and within groups, and the relationship between variables. Analyses demonstrated (a) that those in the intervention (MYD) group were more likely to be ready for change than those in the comparison group (b) significant improvements in diabetes-related knowledge and patient self-efficacy immediately after the MYD and throughout follow-up and (c) significantly improved metabolic control at the 3-month follow-up only. These data indicate that the MYD program is effective. Consistent evaluations of programs such as MYD may lead to positive social change as such programs may become a mainstay of diabetes control strategies, essential to reduce the health and financial burden of the disease.
机译：文献表明，在胰岛素依赖型糖尿病患者中，与糖尿病相关的知识，患者的自我效能和代谢控制之间的关系不清楚。这项研究的目的是定量检查患者参与“掌握糖尿病”（MYD）教育计划后是否可以改善糖尿病相关知识，自我效能和代谢控制，以及这些变量之间是否存在关系。使用跨理论模型和前瞻性纵向准实验设计，在MYD程序前后评估了18名比较对象和41名MYD患者的非随机样本。随后在3、6和12个月对患者进行随访，以进行代谢控制（血红蛋白A1c），知识和自我效能（通过四种不同的糖尿病特定心理测量仪器）。跨理论模型允许评估研究参与者行为改变准备的不同阶段。线性混合模型回归用于评估组之间和组内每个结果度量的差异以及变量之间的关系。分析表明（a）干预组（MYD）的人比对照组的人更愿意改变（b）MYD之后以及整个随访过程中，糖尿病相关知识和患者自我效能的显着改善（c）仅在3个月的随访中显着改善了代谢控制。这些数据表明MYD计划是有效的。对MYD等项目的一致评估可能会导致积极的社会变革，因为此类项目可能成为糖尿病控制策略的支柱，这对减轻疾病的健康和财务负担至关重要。

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  • 作者

    Linetsky, Elina.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 225 p.
  • 总页数 225
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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