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引用次数: 0
摘要
背景:2型糖尿病是当今社会的一个重要问题。考虑到自我效能感训练对糖尿病控制的可能影响，我们旨在探讨其对2型糖尿病控制的影响。方法:本随机对照临床试验于2018年在伊斯法罕市进行。本研究的伊朗临床试验登记处(IRCT)代码为IRCT20190219042762N1 (https://en.irct.ir/trial/37677)。在这样做的过程中，161名糖尿病患者被分为两组:干预组和对照组。干预组接受6次自我效能感和健康生活方式训练，每次训练均教授自我效能感策略。采用描述统计和推理统计的方法对训练前和训练后3个月的代谢指标和糖尿病管理自我效能量表(DMSES)数据进行分析。结果:干预组训练后自我效能评分显著高于对照组(175.7±18比163.7±26,P = 0.001)。此外，干预后，该组的胆固醇水平、低密度脂蛋白和收缩压均显著降低(167±39 vs. 179±43.7 mg/dl, 94.2±31 vs. 102.6±39 mg/dl, 115.6±1.4 vs. 120.1±1.8 mmHg)。结论:总体而言，自我效能感训练能有效改善2型糖尿病患者的代谢控制。
Effect of self-efficacy-based training on metabolic control of patients with type 2 diabetes.
Background: Type 2 diabetes is a significant problem in today's society. Considering the possible effect of self-efficacy training on diabetes control, we aimed to investigate its impact on type 2 diabetes control.
Methods: This randomized controlled clinical trial was performed in 2018 in Isfahan city. Iranian Registry of Clinical Trials (IRCT) code for this study is IRCT20190219042762N1 (https://en.irct.ir/trial/37677). In so doing, 161 patients with diabetes were divided into two groups: intervention and control. The intervention group received six self-efficacy and healthy lifestyle training sessions, and self-efficacy strategies were taught in all sessions. Metabolic indices and the data collected by Diabetes Management Self-Efficacy Scale (DMSES) were analyzed before and three months after training by descriptive and inferential statistics.
Results: The self-efficacy score of the intervention group was significantly higher after training (175.7±18 vs. 163.7±26, P = 0.001). Also, the cholesterol level, LDL, and systolic blood pressure reduced significantly in this group after the intervention (167±39 vs. 179±43.7 mg/dl, 94.2±31 vs. 102.6±39 mg/dl, 115.6±1.4 vs. 120.1±1.8 mmHg, respectively. P<0.05).
Conclusion: Generally, self-efficacy training effectively improved metabolic control in patients with type 2 diabetes.
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