DIFFERENTIAL EFFECT OF DIABETES EDUCATION ON SELF-REGULATION AND LIFE-STYLE BEHAVIORS

被引:78
作者
RUBIN, RR
PEYROT, M
SAUDEK, CD
机构
[1] JOHNS HOPKINS UNIV,SCH MED,CTR DIABET,BALTIMORE,MD 21205
[2] LOYOLA COLL,CTR SOCIAL & COMMUNITY RES,BALTIMORE,MD
关键词
D O I
10.2337/diacare.14.4.335
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: To examine the effect of diabetes education on self-regulation and life-style behaviors. Research Design and Methods: Participants in an outpatient diabetes education program completed a protocol measuring several self-care behaviors and glycemic control at entry (n = 165) and 6 (n = 124) and 12 (n = 89) mo after the program. Results: Improvement was noted at 6 mo for most self-care behaviors and glycemic control. At 12 mo, lower glycosylated hemoglobin levels were maintained (P < 0.001) without increases in perceived hypoglycemia. Improvement was not maintained for those self-care behaviors that require change in life-style, i.e., diet and exercise. However, self-care behaviors that allow patients to self-regulate their glycemic control-self-monitoring of blood glucose and insulin dose self-adjustment-were improved at 12 mo over preprogram levels (P < 0.001). Frequency of insulin self-adjustment continued to increase during the period between follow-ups. Conclusions: The findings suggest that diabetes education is effective in promoting self-regulation behaviors, although it has less effect on traditional regimen behaviors such as diet and exercise.
引用
收藏
页码:335 / 338
页数:4
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