Effectiveness of a primary care nurse delivered educational intervention for patients with type 2 diabetes mellitus in promoting metabolic control and compliance with long-term therapeutic targets: Randomised controlled trial
| Autor: | Maria Jose Santi-Cano, Celia Cruz-Cobo, M.C. De la Fuente Coria |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Type 2 diabetes law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Internal medicine medicine Humans 030212 general & internal medicine General Nursing Primary Care Nursing 030504 nursing business.industry Type 2 Diabetes Mellitus medicine.disease Clinical trial Blood pressure Diabetes Mellitus Type 2 Basal (medicine) Metabolic control analysis Patient Compliance Nurse-Patient Relations 0305 other medical science business Body mass index Program Evaluation |
| Zdroj: | International Journal of Nursing Studies. 101:103417 |
| ISSN: | 0020-7489 |
| Popis: | Systematic reviews and meta-analyses have shown very different values for the effectiveness of education in type 2 diabetes mellitus. However, the achievement of therapeutic targets after educational programs has been poorly evaluated.Evaluate the effectiveness of a structured and individualised education program for type 2 diabetes, provided by a primary care nurse, which featured educational reinforcements and family support to achieve metabolic control, and long-term therapeutic targets.Randomised controlled clinical trial with two arms: Intervention and control group. The intervention consisted of six face-to-face sessions of 30 min and follow-ups after 12 and 24 months for 236 participants with type 2 diabetes mellitus in a primary care setting in Andalusia (Spain). The primary outcome variables were the values and achievement of the type 2 diabetes mellitus control targets established by the American Diabetes Association: Glycated haemoglobin, fasting blood glucose, total cholesterol, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, triglycerides, systolic and diastolic blood pressure. The secondary outcome variable was body mass index.From an overall total of 236 participants, 54.2% were male and the average age was 65.1 ± 9.5. After 12 months, the glycated haemoglobin level and systolic blood pressure decreased in the intervention group. After 24 months, the following variables significantly improved among the intervention group participants: basal glycemia, glycated haemoglobin, total cholesterol low-density lipoprotein cholesterol, and diastolic blood pressure. The glycated haemoglobin target (7%) was better achieved in the intervention group than in the control group (35.2% vs 24.7%, p 0.003). The rest of the targets were not met.Continual diabetes education with reinforcement sessions provided by a nurse achieved reductions in glycated haemoglobin, basal glycaemia, total cholesterol, low-density lipoprotein-cholesterol and systolic blood pressure in both the medium and long term. It also increased the proportion of participants who achieved the therapeutic target of glycated haemoglobin. |
| Databáze: | OpenAIRE |
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