Nurse-led self-management education and support programme on self-management behaviour and quality of life among adults with type 2 diabetes: A pilot randomized controlled trial

IF 1.9 4区 医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-02-14 DOI:10.1111/ijn.13245
Dereje Chala Diriba PhD, MSN, Doris Y. P. Leung PhD, Lorna K. P. Suen PhD, RN, FAAN
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Abstract

Aim

This study examined the preliminary effects of a nurse-led self-management education and support programme on the self-management behaviours and quality of life among people with type 2 diabetes in Western Ethiopia.

Methods

A pilot randomized controlled trial was conducted between January and August 2021. Participants were recruited in the hospital and randomly assigned to the control arm to continue usual care (n = 38) or the intervention arm to receive usual care and the diabetes self-management education and support programme (n = 38) in the community. Self-management behaviours and quality of life were assessed using a 10-item summary of diabetes self-care activity (expanded) scale and a 34-item diabetes quality of life measure, respectively, at baseline and 2 months after follow-up. Generalized estimating equation models were used to examine the preliminary effects of the programme on the outcomes.

Results

Preliminary results indicated that the programme outperformed usual care in self-management practise, with large effect sizes immediately postintervention and at 2 months after the intervention, and quality of life at 2 months after the intervention.

Conclusion

A nurse-led diabetes self-management education and support intervention, including the families of people with diabetes, may be an option to boost the self-management practise and quality of life of patients with diabetes.

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护士主导的自我管理教育和支持计划对成人 2 型糖尿病患者自我管理行为和生活质量的影响:随机对照试验
目的:本研究探讨了由护士主导的自我管理教育和支持计划对埃塞俄比亚西部 2 型糖尿病患者的自我管理行为和生活质量的初步影响:方法:2021 年 1 月至 8 月期间开展了一项试点随机对照试验。参与者在医院招募,随机分配到对照组继续接受常规护理(38 人)或干预组在社区接受常规护理和糖尿病自我管理教育与支持计划(38 人)。在基线和随访两个月后,分别使用10项糖尿病自我护理活动总结(扩展)量表和34项糖尿病生活质量量表对自我管理行为和生活质量进行评估。我们使用了广义估计方程模型来检验该计划对结果的初步影响:初步结果表明,该计划在自我管理实践方面的效果优于常规护理,干预后即刻和干预后 2 个月的效果以及干预后 2 个月的生活质量均有较大的效应大小:护士主导的糖尿病自我管理教育和支持干预(包括糖尿病患者家属)可能是提高糖尿病患者自我管理实践和生活质量的一种选择。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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