A Model Clinical Program for Patients With Diabetes and Vision Impairment.

Autor: BERNBAUM, MARLA, ALBERT, STEWART G., BRUSCA, STEPHANIE R., DRIMMER, AMI, DUCKRO, PAUL N., COHEN, JEROME D., TRINDADE, MARIO C., SILVERBERG, ALAN B.
Zdroj: Diabetes Educator; Aug1989, Vol. 15 Issue 4, p325-330, 6p
Abstrakt: A program was developed to improve independence, self-esteem, and glycemic control in patients with diabetes and blindness. Twenty-nine individuals with both insulin-dependent and noninsulin-dependent diabetes mellitus entered 12-week programs that included education focusing on diabetes self-management skills for the visually impaired, monitored exercise sessions, and group support. Glycated hemoglobin values fell from 13.0% ± 0.6% (SEM) to 11.4% ± 0.5% (P = .001). Exercise tolerance in a 12-minute walk test improved from 0.48 ± 0.04 to 0.64 ± 0.05 miles (P = .001). Marked improvements occurred in psychosocial indices, demonstrated through changes in the Rand Mental Health Index from 155 ± 6 to 174 ± 5 (P = .0001), the Rosenberg Self-Esteem Scale from 22 ± 1 to 19 ± 1 (P = .001), the Zung Depression Scale from 0.50 ± 0.02 to 0.44 ± 0.02 (P = .001), and the Diabetes Self-Reliance Test from 60 ± 3 to 74 ± 2 (P = .0001). [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index