A culturally sensitive nurse-led structured education programme in patients with type 2 diabetes

被引:14
作者
Liu, Yeling [1 ,2 ]
Jiang, Xinjun [1 ,3 ]
Jiang, Hua [1 ]
Lin, Keke [4 ]
Li, Mingzi [1 ]
Ji, Linong [5 ]
机构
[1] Peking Univ, Sch Nursing, 38 Xueyuan Rd, Beijing 100191, Peoples R China
[2] Shantou Univ, Med Coll, Int Med Serv Ctr, Affiliated Hosp 1, Shantou, Peoples R China
[3] Hainan Med Univ, Sch Int Nursing, Haikou, Hainan, Peoples R China
[4] Beijing Univ Chinese Med, Sch Nursing, Beijing, Peoples R China
[5] Peking Univ, Dept Endocrinol & Metab, Peoples Hosp, Beijing, Peoples R China
关键词
diabetes mellitus; education; intervention; nurses; programme; type; 2; diabetes; SELF-MANAGEMENT EDUCATION; GLYCEMIC CONTROL; INTERVENTION; PEOPLE; BARRIERS; CHINA;
D O I
10.1111/ijn.12757
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Aim To assess the feasibility, acceptability, and preliminary efficacy of a culturally sensitive nurse-led structured education programme for patients with type 2 diabetes. Background A nurse-led satisfactory diabetes education programme might be feasible. The structured education programme is considered a potential model that helps patients manage diabetes. Design A mixed-method design. Methods A convenience sample of 44 participants received the programme. Feasibility was assessed using the recruitment rate and the retention rate. Acceptability was assessed by interviews to obtain the perception and experience of participants. Also, preliminary efficacy on diabetes knowledge, self-efficacy, self-management behaviours, and clinical outcomes was assessed. Finally, data were collected from April to December 2015. Results The recruitment rate and the retention rate were acceptable. Participants thought that the programme contributed to their positive changes. They enjoyed and accepted the programme, and they wanted to gain the ongoing support. Significant improvements in diabetes knowledge, self-efficacy, self-management behaviours, A(1C), fasting blood glucose, low-density lipoprotein cholesterol, weight, body mass index, and waist circumference were reported in 12-week follow-up. Conclusions This programme is feasible and acceptable, and its preliminary efficacy is promising. Ongoing support, a control group, and long-term follow-up are required in future studies to assess its effectiveness.
引用
收藏
页数:11
相关论文
共 45 条
[1]  
American Diabetes Association, 2017, Diabetes Care, V40, pS33
[2]  
[Anonymous], 2018, LANCET, V391, P999, DOI 10.1016/S0140-6736(18)30563-4
[3]   Global Guideline for Type 2 Diabetes [J].
不详 .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2014, 104 (01) :1-52
[4]  
[Anonymous], QUAL ASS TOOL QUANT
[5]  
[Anonymous], 2014, CHIN J DIABETES
[6]  
Barkauskas Violet H, 2011, Nurs Adm Q, V35, P34, DOI 10.1097/NAQ.0b013e3182032165
[7]  
Braun V., 2006, QUAL RES PSYCHOL, V3, P77, DOI [DOI 10.1191/1478088706QP063OA, 10.1191/1478088706qp063oa]
[8]   The Association Between Self-Management Barriers and Self-Efficacy in Chinese Patients with Type 2 Diabetes: The Mediating Role of Appraisal [J].
Cheng, Li ;
Sit, Janet W. H. ;
Leung, Doris Y. P. ;
Li, Xiaomei .
WORLDVIEWS ON EVIDENCE-BASED NURSING, 2016, 13 (05) :356-362
[9]   Effectiveness of the diabetes education and self management for ongoing and newly diagnosed (DESMOND) programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial [J].
Davies, M. J. ;
Heller, S. ;
Skinner, T. C. ;
Campbell, M. J. ;
Carey, M. E. ;
Cradock, S. ;
Dallosso, H. M. ;
Daly, H. ;
Doherty, Y. ;
Eaton, S. ;
Fox, C. ;
Oliver, L. ;
Rantell, K. ;
Rayman, G. ;
Khunti, K. .
BMJ-BRITISH MEDICAL JOURNAL, 2008, 336 (7642) :491-495
[10]   Effectiveness of Diabetes Self-management Education Intervention Elements: A Meta-analysis [J].
Fan, Lifeng ;
Sidani, Souraya .
CANADIAN JOURNAL OF DIABETES, 2009, 33 (01) :18-26