KNOWLEDGE IMPROVEMENT AND METABOLIC CONTROL IN DIABETES EDUCATION - APPROACHING THE LIMITS

被引：48

作者：

BEENEY, LJ ^{[1
]}

DUNN, SM ^{[1
]}

机构：

[1] UNIV SYDNEY, DEPT MED, SYDNEY, NSW 2006, AUSTRALIA

来源：

PATIENT EDUCATION AND COUNSELING | 1990年 / 16卷 / 03期

基金：

英国医学研究理事会;

关键词：

Diabetes knowledge; Evaluation; Metabolic control;

D O I：

10.1016/0738-3991(90)90071-R

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Evaluation of diabetes education programs (DEPs) has provided minimal empirical support for a relationship between improved knowledge and better metabolic control. We hypothesized that improved knowledge in specific areas is predictive of changes in specific measures of diabetes control. Patients (n = 558) attending one of five DEPs completed a diabetes knowledge questionnaire at baseline and post-DEP. Glycosylated hemoglobin (GHb) was measured at baseline and at 3 months follow-up. Total diabetes knowledge (DKN) scores increased significantly by 18%, but improvement was uncorrelated with changes in GHb (r = 0.03). Improvement in nine specific content areas failed to predict changes in GHb (all P > 0.05) and improvement in knowledge of the causes of hypoglycemia did not predict changes in frequency of hypoglycemia (x2 = 1.54, P > 0.05). We conclude that neither global nor specific knowledge improvement predicts metabolic control in diabetes and suggest that evaluation of diabetes education should focus more intensively on behavioral and attitudinal outcomes. © 1990.

引用

页码：217 / 229

页数：13

共 50 条

[1] THE PERSONAL MEANING OF HAVING DIABETES - IMPLICATIONS FOR PATIENT BEHAVIOR AND EDUCATION OR KICKING THE BUCKET THEORY [J].