SGS: a structured treatment and teaching programme for older patients with diabetes mellitus-a prospective randomised controlled multi-centre trial

被引：49

作者：

Braun, Anke K. ^{[2
]}

Kubiak, Thomas ^{[3
]}

Kuntsche, Joern ^{[4
]}

Meier-Hoefig, Martina ^{[5
]}

Mueller, Ulrich A. ^{[6
]}

Feucht, Irene ^{[1
]}

Zeyfang, Andrej ^{[1
]}

机构：

[1] Bethesda Hosp Stuttgart, D-70184 Stuttgart, Germany

[2] Heidelberg Univ, Bethanien Hosp Heidelberg, Dept Geriatr, Heidelberg, Germany

[3] Ernst Moritz Arndt Univ Greifswald, Inst Psychol, D-17487 Greifswald, Germany

[4] Burgerhosp Friedberg, Friedberg, Germany

[5] Hosp Kiel, Kiel, Germany

[6] Univ Jena, Dept Internal Med 3, Jena, Germany

来源：

AGE AND AGEING | 2009年 / 38卷 / 04期

关键词：

diabetes mellitus type 2; patient education; treatment and teaching programme; insulin therapy; randomised controlled trial; elderly; PREVALENCE; EDUCATION;

D O I：

10.1093/ageing/afp056

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Design: a prospective randomised controlled multi-centre trial. Setting and participants: a total of 155 geriatric patients were randomly admitted to either the new DTTP SGS (n = 83) or the standard DTTP (n = 72) for insulin-treated patients with type 2 diabetes mellitus (HbA1c 8.0 +/- 1.4%, age 76.2 +/- 6.3 years). Measurements: biometrical data, metabolic control, acute complications, diabetes knowledge, self-management. Results: SGS participants showed improved levels of HbA1c 6 months after the DTTP, and less acute complications than the standard group (P < 0.009). Both groups demonstrated a good capacity for diabetes self-management and improvement in diabetes knowledge after the DTTP (P < 0.01). Conclusion: the new SGS diabetes education programme, focusing on the learning capabilities and the particular needs of older persons, is effective in improving metabolic control and in maintaining auto-sufficiency in geriatric patients with diabetes mellitus.

引用

页码：390 / 396

页数：7

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