教育计划对成年糖尿病周围神经病变疼痛患者疼痛管理、自我效能行为和生活质量的影响:一项随机对照试验。

IF 1.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM Experimental and Clinical Endocrinology & Diabetes Pub Date : 2022-08-01 Epub Date: 2021-08-26 DOI:10.1055/a-1561-8392
Jawad Ahmad Abu-Shennar, Nurhan Bayraktar
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引用次数: 0

摘要

目的:约旦有高患病率疼痛性糖尿病周围神经病变(PDPN),腿部并发症和截肢由于糖尿病。本研究评估教育计划对成年PDPN患者疼痛管理、自我效能行为和生活质量(QoL)的影响。方法:随机对照试验研究于2019年10月至2020年3月在约旦卫生部医院进行。72名成年PDPN患者被随机分为实验组(36名患者)和对照组(36名患者参加教育项目),对照组在研究环境中接受常规糖尿病护理。数据采用社会人口学和糖尿病临床/实验室数据表、数字评定量表(NRS)、糖尿病自我效能量表(DSES)和生活质量问卷(EQ-5D)收集。干预计划包括每周四次的教育课程。进行测试前和测试后的评估。结果:教育干预后,实验组的NRS评分(p=0.020)、DSES评分(p0.001)、EQ-5D评分(p0.001)均较对照组显著提高。此外,虽然三个研究结果在测试前阶段之间没有显著的相关性,但在教育干预后发现相关性显著。结论:本研究表明,教育干预的设计和实施结合糖尿病常规护理可促进PDPN患者有效的疼痛管理、自我效能行为和生活质量。建议卫生保健提供者在卫生中心和糖尿病诊所的各级服务中对这类患者使用教育计划。
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The Effect of Educational Program on Pain Management, Self-Efficacy Behavior, and Quality of Life among Adult Diabetic Patients with Peripheral Neuropathy Pain: A Randomized Controlled Trial.

Objective: Jordan has a high prevalence of painful diabetic peripheral neuropathy (PDPN), leg complications, and amputations due to diabetes. This study evaluated the effect of educational programs on pain management, self-efficacy behaviors, and quality of life (QoL) among adult patients with PDPN.

Methods: The randomized controlled trial study was conducted at the Jordanian Ministry of Health hospitals between October 2019 - March 2020. Seventy-two adult patients with PDPN were randomized to an experimental group of 36 patients who attended an educational program and a control group who followed routine diabetic care in the study setting. The data were collected using a socio-demographic and diabetes clinical/laboratory data form, the numeric rating scale (NRS), diabetes self-efficacy scale (DSES), and the quality-of-life questionnaire (EQ-5D). The intervention program consisted of four educational sessions at weekly intervals. Pre-test and post-test evaluations were conducted.

Results: After the educational intervention, the mean scores of the NRS (p=0.020), DSES (p<0.001), and EQ-5D (p<0.001) in the experimental group improved significantly improved compared to those in the control group. Additionally, while there were no significant correlations between the three study outcomes in the pre-test stage, correlations were observed to be significant after the educational intervention.

Conclusion: This study shows that the design and implementation of educational intervention combined with routine diabetic care facilitate effective pain management, self-efficacy behaviors, and QoL of patients with PDPN. The health care providers are recommended to use the educational programs for such patients at various levels of services in both health centers and diabetes clinics.

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来源期刊
CiteScore
4.10
自引率
5.60%
发文量
72
审稿时长
3 months
期刊介绍: Publishing outstanding articles from all fields of endocrinology and diabetology, from molecular biology to clinical research, this journal is a brilliant resource. Since being published in English in 1983, the popularity of this journal has grown steadily, reflecting the importance of this publication within its field. Original contributions and short communications appear in each issue along with reviews addressing current topics. In addition, supplementary issues are published each year presenting abstracts or proceedings of national and international scientific meetings. The journal was initially published in German and is still the oldest endocrinological periodical in the German-language market!
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