One-year follow-up effects of diabetes rehabilitation for patients with prolonged self-management difficulties

被引:32
作者
Keers, JC
Bouma, J
Links, TP
ter Maaten, JC
Gans, ROB
Wolffenbuttel, BHR
Sanderman, R
机构
[1] Univ Groningen, No Ctr Healthcare Res, NL-9700 AD Groningen, Netherlands
[2] Univ Groningen Hosp, Dept Endocrinol, Groningen, Netherlands
[3] Univ Groningen Hosp, Dept Internal Med, NL-9713 EZ Groningen, Netherlands
[4] Univ Groningen Hosp, Ctr Rehabil, Haren, Netherlands
关键词
diabetes mellitus; patient empowerment; patient education; self-management;
D O I
10.1016/j.pec.2004.10.013
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The aim of this study is to determine effects and the role of facilitators of empowerment of a Multidisciplinary Intensive Education Programme (MIEP) for diabetic patients with prolonged self-management difficulties. Glycemic control (HbAlc), health-related quality of life (HR-QoL) and facilitators of empowerment (health locus of control and coping) were measured in 99 participants of MIEP at baseline (T-0), 3 (T-1) and 12 months (T-2) follow-up and in 231 non-referred consecutive outpatients. HbAlc improved at T-2 although initial improvement was partially lost. Patients improved in most HR-QoL domains, without any relapse at T-2. At T-2 participants no longer differed from the average outpatients in any outcome. Initially, the HbAlc of men and women improved equally, but at T-2 women consolidated improvement, whereas men relapsed. After MIEP, patients became more empowered (both at T-1 and T-2), explaining additional variance in HR-QoL improvement. The aim of MIEP to empower patients, rather than trying to solve problems for them seems effective. (c) 2004 Elsevier Ireland Ltd. All rights reserved.
引用
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页码:16 / 23
页数:8
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