| Autor: |
Trento, Marina, Passera, Pietro, Borgo, Enrica, Tomalino, Marco, Bajardi, Marina, Cavallo, Franco, Porta, Massimo |
| Předmět: |
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| Zdroj: |
Diabetes Care; Mar2004, Vol. 27 Issue 3, p670-675, 6p, 1 Diagram, 1 Chart |
| Abstrakt: |
To study time course changes in knowledge, problem solving ability, and quality of life in patients with type 2 diabetes managed by group compared with individual care and education. Knowledge of diabetes and problem solving ability improved from year 1 with group care and worsened among control subjects (P < 0.001 for both). Quality of life improved from year 2 with group care but worsened with individual care (P < 0.001). HbAlc level progressively increased over 5 years among control subjects (+ 1.7%, 95% CI 1.1–2.2) but not group care patients (+0.1%, -0.5 to 0.4), in whom BM1 decreased (-1.4, -2.0 to -0.7) and HDL cholesterol increased (+0.14 mmol/1, 0.07–0.22). Adults with type 2 diabetes can acquire specific knowledge and conscious behaviors if exposed to educational procedures and settings tailored to their needs. Traditional one-to-one care, although delivered according to optimized criteria, is associated with progressive deterioration of knowledge, problem solving ability, and quality of life. Better cognitive and psychosocial results are associated with more favorable clinical outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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