肯尼亚 2 型糖尿病(T2DM)成人在参加教育计划后,糖尿病知识和自我效能得到提高,血红蛋白水平有所下降。

Sabina Jeruto Bett, Jochebed Bosede Ade-Oshifogun
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摘要

导言:文献证实,增加糖尿病知识与改善 II 型糖尿病(T2DM)患者的健康状况之间存在联系。在肯尼亚,高危人群对 T2DM 的症状、并发症和管理策略的了解仍然存在差距,因此要达到所需的个人和社区健康水平具有挑战性。该项目的目标是确定为肯尼亚埃尔多雷特的患者提供结构化教育干预是否能增加糖尿病知识和自我效能,并降低 HbA1c 水平:我们采用了一项实验研究,将 143 名参与者系统地分为对照组和实验组。实验组只接受基于健康信念模式的结构化教育干预。采用独立 T 检验和方差分析对干预前后的糖尿病知识、自我效能和 HbA1c 数据进行了分析:结果:在糖尿病知识方面,我们观察到了明显的组间差异(t(116)= 7.22,p):本研究揭示了在肯尼亚埃尔多雷特,结构化教育干预在提高 T2DM 患者的糖尿病知识和自我效能,同时降低 HbA1c 水平方面的效果。
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Kenyan adults with type 2 diabetes mellitus (T2DM) increase diabetic knowledge and self-efficacy and decrease hemoglobina1c levels post-educational program.

Introduction: Literature supports the relationship between increased diabetic knowledge and improved health outcomes among individuals with Type II diabetes mellitus (T2DM). In Kenya, knowledge gaps within the at-risk population still exist about the symptoms, complications, and management strategies of T2DM, making it challenging to achieve the required personal and community health levels. The project's objective was to determine whether a structured educational intervention for patients in Eldoret, Kenya, would increase diabetic knowledge and self-efficacy and reduce HbA1c levels.

Method: We utilized an experimental study with a convenience sample of 143 participants systematically grouped into control and experimental. The experimental group only received a structured educational intervention based on the health belief model. Pre- and post-intervention data for diabetic knowledge, self-efficacy, and HbA1c were analyzed using the independent T and ANOVA tests.

Results: We observed significant between-group differences for diabetic knowledge (t (116) = 7.22, p<0.001), self-efficacy t (96)=5.323, p<0.001; and HbA1c level t (121) =-2.87, p =.003. We also observed significant within-group differences for diabetic knowledge, t (12.6), p<0.001); self-efficacy t (5.32), p<.001); and HbA1c, t (4.4), p<0.001, in the experimental group only.

Conclusions: This study reveals the effect of a structured education intervention in increasing diabetic knowledge and self-efficacy while reducing HbA1c levels in T2DM patients in Eldoret, Kenya.

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