A preliminary study on the effects of the Peer-Led Self-Management (PLSM) program on self-efficacy, self-management, and physiological measures in older adults with diabetes: A block randomized controlled trial

被引:7
作者
Chen, Wen-Chun [1 ,2 ,3 ]
Kuo, Chia-Chi [4 ,5 ]
Lin, Chiu-Chu [2 ,6 ,7 ]
Wu, Chia-Chen [8 ]
机构
[1] St Martin De Porres Hosp, Dept Community Med, Chiayi, Taiwan
[2] Kaohsiung Med Univ, Sch Nursing, Kaohsiung, Taiwan
[3] Chang Gung Univ Sci & Technol, Dept Nursing, Chiayi Campus, Puzi, Chiayi, Taiwan
[4] Chi Mei Med Ctr, Emergency Dept, Tainan, Taiwan
[5] Chang Jung Christian Univ, Dept Nursing, Tainan, Taiwan
[6] Kaohsiung Med Univ, Dept Renal Care, Coll Med, Kaohsiung, Taiwan
[7] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Med Res, Kaohsiung, Taiwan
[8] Fooyin Univ, Sch Nursing, Kaohsiung, Taiwan
关键词
Self-management; Peer-led; HbA1c; Older adults; Diabetes; Self-efficacy;
D O I
10.1016/j.gerinurse.2021.01.011
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
This study explored the effects and feasibility of the peer-led self-management (PLSM) program for older adults with diabetes. Twenty-eight participants from 10 communities in southern Taiwan were randomly allocated to experimental and control groups. Those in the experimental group were enrolled in a 4-week PLSM program; those in the control group received a self-management manual and continued their usual clinical care. Improvement in outcomes (self-efficacy, self-management, physiological measures) over time in both groups were evaluated. After PLSM intervention, self-efficacy and self-management had improved; body weight and body mass index measures of the experimental group at post-test 1 and post-test 2 were significantly lower than those of the control group (p < .001); HbA1c, total cholesterol, and triglycerides at post-test 2 were also significantly better (p < .001; p = .03; p = .02). We discuss preliminary benefits and feasibility of the PLSM program. (c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:386 / 396
页数:11
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