A 7 day inpatient diabetes education program improves quality of life and glycemic control 12 months after discharge

IF 3.2 3区 医学 Journal of Diabetes Investigation Pub Date : 2023-03-20 DOI:10.1111/jdi.14008
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引用次数: 1

Abstract

Aims

For long-term management of diabetes, patients with type 2 diabetes mellitus require a high level of treatment adherence, which is associated with treatment satisfaction and their quality of life (QOL). To achieve it, patient education about diabetes self-management is essential. We routinely conduct a 7 day inpatient diabetes education program and administer the diabetes treatment-related (DTR)-QOL questionnaire to all participants, both before admission and at discharge. Here, we investigated whether our program improves QOL and post-discharge glycemic control.

Materials and Methods

This retrospective study utilized data from patients with type 2 diabetes mellitus who participated in our program between July 2017 and March 2020 and who had been treated in our outpatient department for more than 1 year. We evaluated the relationship between at admission and at discharge diabetes treatment-related quality of life scores and glycemic control after discharge.

Results

Data from 140 patients were analyzed in this study, which showed a significant improvement in the total, ‘Anxiety and dissatisfaction with treatment’, and ‘Satisfaction-with-treatment’ scores. A significant improvement was evident in HbA1c at 12 months after discharge. Multiple regression analysis showed that HbA1c after 12 months was independently associated with gender, duration of diabetes, and HbA1c at admission.

Conclusions

Our program effectively improves quality of life and post-discharge glycemic control in patients with type 2 diabetes mellitus. It is particularly effective in patients of the male gender, with a shorter duration of diabetes mellitus and higher HbA1c at admission.

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7天的住院糖尿病教育计划可改善出院后12个月的生活质量和血糖控制
目的2型糖尿病患者需要高水平的治疗依从性,这与治疗满意度和生活质量(QOL)有关。为实现这一目标,对患者进行糖尿病自我管理教育至关重要。我们定期对住院患者进行为期7天的糖尿病教育计划,并在入院前和出院时对所有参与者进行糖尿病治疗相关(DTR)-生活质量问卷调查。在这里,我们研究了我们的方案是否改善了生活质量和出院后血糖控制。材料和方法本回顾性研究使用了2017年7月至2020年3月期间参加我们项目的2型糖尿病患者的数据,这些患者在我们的门诊治疗超过1年。我们评估了入院和出院时糖尿病治疗相关生活质量评分与出院后血糖控制之间的关系。结果本研究对140例患者的数据进行了分析,结果显示患者的“焦虑和治疗不满意度”以及“治疗满意度”得分均有显著改善。出院后12个月HbA1c明显改善。多元回归分析显示,12个月后HbA1c与性别、糖尿病病程、入院时HbA1c独立相关。结论本项目有效改善了2型糖尿病患者的生活质量和出院后血糖控制。对于入院时糖尿病持续时间较短、HbA1c较高的男性患者尤其有效。
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A 7 day inpatient diabetes education program improves quality of life and glycemic control 12 months after discharge
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来源期刊
Journal of Diabetes Investigation
Journal of Diabetes Investigation Medicine-Internal Medicine
自引率
9.40%
发文量
218
期刊介绍: Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).
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