Management of type 2 diabetes: Self-management education and clinical findings

Aysun Türe, Nilufer Demirsoy, Deniz Gökalp
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Abstract

Abstract Aim: The purpose of this study is to determine the effects of the self-management education provided to patients with type 2 diabetes under the leadership of a nurse on the perceptions of self-management and clinical findings of patients. Materials and Methods: The sampling of the research comprises 281 patients who received a diagnosis of type 2 diabetes and whose treatment is being conducted. The self-management perceptions, body mass index, preprandial blood glucoses, and glycolyzed hemoglobin levels of the patients were measured before and after the intervention and 3 months later. Results: It was determined as a result of the comparison of the scores before and after the nursing education provided to the patients that the patients’ self-management perception scale scores increased significantly and that the body mass index, preprandial blood glucose, and glycolyzed hemoglobin levels reduced significantly ( P < 0.01). Conclusions: It is determined in research that the self-management education provided to patients with type 2 diabetes under the leadership of a nurse had a meaningful impact on the diabetes self-management skills and clinical findings of the patients. Practice Implications: It was determined that the average diabetes self-management education scores increased significantly when comparing before and after the self-management provided to patients and that the body mass index, preprandial blood glucose, and glycolyzed hemoglobin levels decreased at a statistically meaningful level.
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2型糖尿病的管理:自我管理教育和临床结果
摘要目的:本研究旨在探讨在护士的带领下对2型糖尿病患者进行自我管理教育对患者自我管理认知和临床表现的影响。材料与方法:本研究的样本包括281例被诊断为2型糖尿病并正在接受治疗的患者。测量干预前后及3个月后患者的自我管理意识、体重指数、餐前血糖、糖化血红蛋白水平。结果:通过对患者进行护理教育前后得分的比较,发现患者自我管理感知量表得分显著提高,体重指数、餐前血糖、糖化血红蛋白水平显著降低(P <0.01)。结论:研究确定,在护士的带领下对2型糖尿病患者进行自我管理教育,对患者的糖尿病自我管理技能和临床表现有显著影响。实践意义:确定患者自我管理前后糖尿病自我管理教育平均得分显著提高,体重指数、餐前血糖、糖化血红蛋白水平下降,均有统计学意义。
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