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Developmental Process of Disease Management Program of Type 2Diabetes with a View to Acquiring Self-Management Skills: Effects of the Trial Implementation Chiyoko Takami 1 , Michiko Moriyama 2 , Masumi Nakano 3 , Yuriko Kuroe 4 , Kazuko Nin 5 , Hiroko Morikawa 6 , Tomonori Hasegawa 7 , Shizuko Hayashi 8 1Shiga University Medical Science Hospital 2Graduate School of Health Sciences, Hiroshima University 3Hiroshima City Asa Hospital 4Gifu College of Nursing 5Kyoto University Hospital 6School of Nursing, Faculty of Health and Medical Sciences, University of Fukui 7School of Medicine, Faculty of Medicine, Toho University 8School of Nursing, Faculty of Health and Medical Care, Saitama Medical University Keyword: 2型糖尿病 , 疾病管理 , 患者教育 , type 2diabetes , disease management , patient education pp.59-68
Published Date 2008/9/25
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Abstract

 Purpose:In accordance with the method of disease management, a 6-month educational program was developed with a view to acquiring self-management skills for patients with type 2diabetes. The effects and operational potential of the program were examined.

 Method:The subjects were 36outpatients at two institutions.A randomized clinical trial was conducted. The newly developed structured program was applied to the intervention group, while the current treatment was given to the control group. A nurse and a registered dietitian conducted a 30-minute interview once a month and also telephone monitoring in accordance with the program.

 Results:Four subjects dropped out of the program due to time constraints,while the remaining 32 continued the program through to the end (completion rate:81.0%). The sense of self-efficacy improved in the intervention group. The achievement rate for the dietary and exercise therapies increased significantly;however, there was no statistically significant improvement in the physiological data. The HbA1c and QOL scores, which were the final outcomes, improved;however, there was no significant difference between the two groups. The overall evaluation of the program was favorable.

 Discussion:It was suggested that there is room for improvement in terms of criteria for choosing a target population, goal-setting and guidance, the period of implementation, and data collection methods for the control group. In terms of effective operation, utilization of electronic media and the importance of hospital-clinics collaboration were suggested.


Copyright © 2008, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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