Diabetes Rehabilitation: Effects of a Multidisciplinary Intensive Education Programme for Diabetic Patients with Prolonged Self-Management Difficulties

被引:0
作者
J. C. Keers
T. P. Links
J. Bouma
S. M. H. J. Scholten-Jaegers
R. O. B. Gans
R. Sanderman
机构
[1] University of Groningen,Northern Centre for Healthcare Research (NCH)
[2] University Medical Centre Groningen,Department of Endocrinology
[3] University Medical Centre Groningen,Centre for Rehabilitation Beatrixoord
[4] University Medical Centre Groningen,Department of Internal Medicine
[5] University Medical Centre Groningen,Department of Endocrinology
来源
Journal of Clinical Psychology in Medical Settings | 2005年 / 12卷
关键词
education; empowerment; glycaemic control; quality of life; self-management;
D O I
暂无
中图分类号
学科分类号
摘要
This study aimed to determine effects of a Multidisciplinary Intensive Education Programme (MIEP) based on the empowerment approach for diabetic patients with prolonged self-management difficulties. In 89 participants, glycaemic control (HbA1c), health related quality of life (HR-QoL) and indicators of empowerment were measured before MIEP (10 days in 10 weeks, follow-up after 6 and 12 weeks) and at 12 weeks follow-up. The participants were compared with 231 average outpatients who were measured once. Overall, participants improved their glycaemic control, mental health, satisfaction with treatment and became more empowered. Subgroup analyses revealed that especially patients with poor baseline control improved their HbA1c. At baseline, participants with poor mental health scored worse on all other HR-QoL subscales too and were less empowered compared to the satisfactory mental health group. The poor mental health participants improved in most of these aspects. MIEP has beneficial effects in HbA1c, HR-QoL, and empowerment, especially in patients with poor status at baseline.
引用
收藏
页码:117 / 126
页数:9
相关论文
共 121 条
[1]  
Anderson R. M.(1991)Learning to empower patients. Results of professional education program for diabetes educators [published erratum appears in Diabetes Care 1991 Oct;14(10):933] Diabetes Care 14 584-590
[2]  
Funnell M. M.(1997)Patient empowerment. Results of a randomized controlled trial Diabetes Care 18 943-949
[3]  
Barr P. A.(1999)Diabetes care and patient-oriented outcomes JAMA 281 1676-1678
[4]  
Dedrick R. F.(2000)Evaluation of a holistic treatment and teaching programme for patients with type 1 diabetes who failed to achieve their therapeutic goals under intensified insulin therapy Diabetic Medicine 17 635-643
[5]  
Davis W. K.(1992)A power primer Psychological Bulletin 112 155-159
[6]  
Anderson R. M.(1995)Can patients set their own educational priorities? Diabetes Research and Clinical Practice 30 131-136
[7]  
Funnell M. M.(2000)Barriers to control of blood glucose in diabetes mellitus American Journal of Medical Quality 15 16-25
[8]  
Butler P. M.(1988)Reliability and validity of a diabetes quality-of-life measure for the diabetes control and complications trial (DCCT). The DCCT Research Group Diabetes Care 11 725-732
[9]  
Arnold M. S.(1993)The effects of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus New England Journal of Medicine 329 977-986
[10]  
Fitzgerald J. T.(1996)Influence of intensive diabetes treatment on quality-of-life outcomes in the diabetes control and complications trial [see comments] Diabetes Care 19 195-203