在土耳其护理糖尿病教育评估项目（TURNUDEP）中评估糖尿病教育对自我护理行为和血糖控制的影响：一项多中心研究。
Assessment the effect of diabetes education on self-care behaviors and glycemic control in the Turkey Nursing Diabetes Education Evaluating Project (TURNUDEP): a multi-center study.
作者信息
Celik Selda, Olgun Nermin, Yilmaz Feride Taskin, Anataca Gulden, Ozsoy Ilksen, Ciftci Nurcan, Aykiz Elif Fidan, Yasa Serap, Karakiraz Ebru, Ulker Yeliz, Demirhan Yeliz Erdem, Celik Sultan Yurtsever, Arpaci Inci, Gunduz Fulya, Temel Derya, Dincturk Cevahir, Sefer Betul Essiz, Bagdemir Elif, Erdem Esin, Sarimehmetoglu Esra, Sahin Fatime, Gulsen Gulay, Kocakgol Nese, Gokmen Sibel, Damar Suna, Celikoz Zekiye, Korkusuz Yesim, Kirlak Senay, Dede Tugce, Kahraman Behice, Sert Arzu, Cetin Nesrin
机构信息
Hamidiye Faculty of Nursing, University of Health Sciences Turkey, Istanbul, Turkey.
Mekteb-I Tıbbiye-I Şahane (Hamidiye), Külliyesi Selimiye Mahallesi Tıbbiye Caddesi No:38 34668 Üsküdar, Istanbul, Türkiye.
出版信息
BMC Nurs. 2022 Aug 5;21(1):215. doi: 10.1186/s12912-022-01001-1.
BACKGROUND
Diabetes education in Turkey is provided by diabetes nurse educators in almost all healthcare organizations. However, the education is not standardized in terms of learning content, duration, and methods. This multi-center study was performed to assess the self-care behaviors and glycemic control following education provided to the patients with type 2 diabetes mellitus by diabetes nurse educators.
METHODS
This was a descriptive and cross-sectional study and included 1535 patients admitted to 28 public hospitals for the treatment of type 2 diabetes mellitus. The education was assessed by using a Patient Identification Form and Self-care Scale.
RESULTS
The proportion of individuals who received diabetes education within the last year was 78.5%, with 46.7% of them having received it once. Of the patients, 84.8% reported that they received diabetes education individually. It was found that the proportion of individuals who received education about oral antidiabetics (78.5%) and glucose testing at home (78.5%) was higher than the proportion of individuals who received education about exercise (58.8%) and foot care (61.6%). The status of diabetes education, education intervals, and the correlation of the education method with self-care and glycemic control was evaluated. Self-care and glycemic control levels were better among the patients who received diabetes education thrice or more and in patients who received education both individually and in a group (p < 0.05).
CONCLUSIONS
Approximately three-quarters of individuals with type 2 diabetes mellitus received education by diabetes nurse educators in Turkey. Diabetes education is positively correlated with self-care and glycemic control levels among patients with type 2 diabetes mellitus. Efforts for generalization and standardized education for all diabetes patients are necessary.
背景
在土耳其，几乎所有医疗机构的糖尿病教育均由糖尿病护理教育工作者提供。然而，在学习内容、时长和方法方面，教育并未标准化。本多中心研究旨在评估糖尿病护理教育工作者为2型糖尿病患者提供教育后，患者的自我护理行为和血糖控制情况。
方法
这是一项描述性横断面研究，纳入了28家公立医院收治的1535例2型糖尿病患者。通过患者识别表和自我护理量表对教育情况进行评估。
结果
去年接受糖尿病教育的个体比例为78.5%，其中46.7%的人仅接受过一次教育。患者中，84.8%报告称他们接受了个体化的糖尿病教育。结果发现接受口服降糖药教育（78.5%）和家庭血糖检测教育（78.5%）的个体比例高于接受运动教育（58.8%）和足部护理教育（61.6%）的个体比例。评估了糖尿病教育状况、教育间隔以及教育方法与自我护理和血糖控制的相关性。接受三次或更多次糖尿病教育的患者以及同时接受个体教育和团体教育的患者，其自我护理和血糖控制水平更好（p<0.05）。
结论
在土耳其，约四分之三的2型糖尿病患者接受了糖尿病护理教育工作者的教育。糖尿病教育与2型糖尿病患者的自我护理和血糖控制水平呈正相关。有必要为所有糖尿病患者开展普及化和标准化教育工作。
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