Educational intervention on perceived stress among adults with type 2 diabetes and metabolic syndrome: a non-randomized clinical trial.

IF 1.3 Q3 NURSING Investigacion y Educacion en Enfermeria Pub Date : 2024-03-01 DOI:10.17533/udea.iee.v42n1e03

Wilkslam Alves de Araújo, Isleide Santana Cardoso Santos, Randson Souza Rosa, Diego Pires Cruz, Cícero Santos Souza, Rita Narriman Silva de Oliveira Boery, Claudia Geovana da Silva Pires, Andréa Dos Santos Souza, Roseanne Montargil Rocha

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Abstract

Objective: To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus.

Method: Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up.

Results: Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention.

Conclusion: The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.

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对 2 型糖尿病和代谢综合征成人患者压力感知的教育干预：非随机临床试验。

目的评估教育干预对2型糖尿病成人患者感知压力和代谢综合征参数的影响：51名成年人（年龄为48.73±7.84岁；86.3%为女性）参加了在一家医疗单位进行的为期6个月的非随机临床试验（巴西临床试验登记处：RBR-43K52N）。所有参与者均被诊断为 2 型糖尿病和代谢综合征（干预组，26 人；对照组，25 人）。干预措施包括一项由护士主导的促进健康教育计划，该计划采用多学科方法，共组织了七次研讨会。主要结果是压力感知下降，次要结果是代谢综合征参数根据压力感知水平有所改善。这些结果分别在基线和随访两个时间点进行评估：结果：参加干预计划后，感受到的压力明显减少（P=0.028）。干预组的压力参与者在六个月的干预后，血糖水平显著下降（p=0.001），高密度脂蛋白胆固醇浓度显著上升（p=0.003）：护士主导的健康促进教育计划降低了 2 型糖尿病和代谢综合征成人患者的压力感知，改善了干预组压力参与者的空腹血糖和高密度脂蛋白胆固醇。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Investigacion y Educacion en Enfermeria Nursing-Maternity and Midwifery

CiteScore

2.60

自引率

5.00%

发文量

审稿时长

14 weeks

期刊介绍： The mission of the journal of Nursing and Education is to present scientific and technical information about health, illnesses and related topics. The journal serves as the conduit [medium] through which the experiences of our own nursing and social science departments can be shared within Columbia and internationally. It is written primarily for nurses, general health practitioners and other related disciplines but can also be used by students and researchers.