González PAA, Martínez VR

Language: Spanish
References: 20
Page: 165-174
PDF size: 132.45 Kb.

ABSTRACT

Introduction: Diabetes education has proven to be an important tool for the management of the disease. The objective consisted in comparing the effectiveness of the application of a group and individual health education plan in type-2 diabetes patients. Methods: Population: Comparative study in patients with type-2 diabetes. Interventions: The patients were assigned randomly in study group (n = 30) and in control group (n = 35). Individual and group lessons, were performed and the contents were evaluated with a validated, self-administered test. Study variables: The measurement of three metabolites routinely done at the clinic: plasma glucose, total cholesterol and triglycerides were chosen, in eddition to five areas in the knowledge test. Statistical analysis: The differences between groups were analyzed by the Student t test or Mann-Whitney U, to compare the medias in independent samples, and the Wilcoxon test and the Student t test, for related groups, using the SPSS v 12 program. Results: In the study group, the first and second measurement values were: for plasma glucose; 160 mg/dL and 130 mg/dL (p = 0.000), for total cholesterol; 207.8 mg/dL and 199.5 mg/dL) (p = 0.247), and for triglycerides; 215.8 mg/dL and 217.5 mg/dL (p = 0.934), only plasma glucose values presented significant differences between the measures, before and after the course. In this same group, in almost alt the test dimensions, an improvement with some significant differences was presented. For the control group, the first and second values were: for plasma glucose; 159.7 mg/dL and 175.5 mg/dL (p = 0.051), for total cholesterol; 202.1 mg/dL and 205.0 mg/dL (p = 0.064), and for triglycerides; 241.2 mg/dL and 237.1 mg/dL (p = 0.860), without any significant differences in three cases. In this group, none of the knowledge areas of the test presented differences between first and second evaluation. Conclusions: Our education based intervention offers benefits for the control of hyperglycemia, as well as for increasing knowledge about the disease.

REFERENCES

1. The expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2007; 30 Suppl 1: S42-S47.

2. García GR, Suárez PR. Resultados cubanos del Programa Latinoamericano de Educación a Pacientes Diabéticos no Insulinodependientes (PEDNID-LA). Rev Cubana Endocrinol 2001; 12(2): 82-92.

3. Heisler M, Piette JD, Spencer M, Kieffer E, Vijan S. The relationship between knowledge of recent HbA1C values and diabetes care understanding and self-management. Diabetes Care 2005; 28(4): 816-822.

4. Caliskan D, Ozdemir O, Ocaktan E, Idil A. Evaluation of awareness of diabetes mellitus and associated factors in four health center areas. Patient Educ Couns 2006; 62(1): 142-147.

5. World Health Organization. Implementing National Diabetes Programes. Ginebra: OMS, 1995; informe WHO/DBO/DM/97-2.

6. Organización Mundial de la Salud. Directrices para el desarrollo de un programa nacional para la diabetes mellitus. Ginebra: OMS. División de enfermedades no transmisibles y tecnología de la salud, 1991; informe OMS/DBO/DM 91-1.

7. García R, Suárez R. Diabetes education in the elderly. A five years follow-up. Patient Educ Couns 1994; 23(Suppl): 21.

8. Armalé M. Educación a diabéticos tipo 2: ¿por qué no en grupos? Aten Primaria 1999; 23(8): 485-492.

9. Cabrera-Pivaral CE, González-Pérez G, Vega-López MG, Arias-Merino ED. Impact of participatory education on body mass index and blood glucose in obese type-2 diabetics. Cad Saúde Pública 2004; 20(1): 275-281.

10. Dalmau M, García G, Aguilar C, Palau A. Educación grupal frente a individual en pacientes diabéticos tipo 2. Aten Primaria 2003; 32(1): 36-41.

11. Hess GE, Davis WK. The validation of a diabetes patient knowledge test. Diabetes Care 1983; 6(6): 591-596.

12. Campo JM, Vargas ME, Martínez-Terrer T, Cía P. Adaptación y validación de un test de conocimientos sobre la diabetes mellitus. Aten Primaria 1992; 9(3): 100-105.

13. Curso de Educación en Diabetes. URL disponible en: http://www.ihcdiabetes.com.htm (Accesado: 9 de noviembre de 2006).

14. Educación para la diabetes. (Citado 13 de noviembre de 2006) URL disponible en: http://www.juntadeandalucia.es/salud/principal/documentos.asp?pagina=libro0

15. Lazcano-Burciaga G, Rodríguez-Morán M, Guerrero-Romero F. Eficacia de la educación en el control de la glucemia de pacientes con diabetes tipo 2. Rev Med IMSS 1999; 37(1): 39-44.

16. Schiel R, Braun A, Muller R, Helbich C, Siefke S, Franke I, Osterbrink B, Leppert K, Stein G, Muller UA. A structured treatment and educational program for patients with type 2 diabetes mellitus, insulin therapy and impaired cognitive function (DikoL). Med Klin (Munich) 2004; 99(6): 285-292.

17. Mauldon M, Melkus GD, Cagganello M. Tomando control: a culturally appropriate diabetes education program for Spanish-speaking individuals with type 2 diabetes mellitus-evaluation of a pilot project. Diabetes Educ 2006; 32(5): 751-760.

18. Deakin TA, Cade JE, Williams R, Greenwood DC. Structured patient education: the diabetes X-PERT Programme makes a difference. Diabet Med 2006; 23(9): 944-954.

19. Campo-Ordaz JM, Vargas-Royo ME, Martínez-Terrer T, Cía-Gómez P. Valoración del nivel de conocimientos sobre su enfermedad en una población diabética hospitalaria. Aten Primaria 1995; 16(10): 623-627.

20. Firestone DN, Jiménez-Briceno L, Reimann JO, Talavera GA, Polonsky WH, Edelman SV. Predictors of diabetes-specific knowledge and treatment satisfaction among Costa Ricans. Diabetes Educ 2004; 30(2): 281-292.