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肯尼亚 2 型糖尿病(T2DM)患者在接受教育项目后,增加了糖尿病知识和自我效能感,降低了血红蛋白 a1c 水平。

Kenyan adults with type 2 diabetes mellitus (T2DM) increase diabetic knowledge and self-efficacy and decrease hemoglobina1c levels post-educational program.

机构信息

School of Nursing, Andrews University, 8475 University Blvd, Berrien Springs, MI, 49104. USA.

School of Nursing, College of HEST, P.O.Box 3001, New Mexico State University, Las Cruces, NM 88003.

出版信息

Afr Health Sci. 2024 Mar;24(1):163-170. doi: 10.4314/ahs.v24i1.21.

Abstract

INTRODUCTION

Literature supports the relationship between increased diabetic knowledge and improved health outcomes among individuals with Type II diabetes mellitus (T2DM). In Kenya, knowledge gaps within the at-risk population still exist about the symptoms, complications, and management strategies of T2DM, making it challenging to achieve the required personal and community health levels. The project's objective was to determine whether a structured educational intervention for patients in Eldoret, Kenya, would increase diabetic knowledge and self-efficacy and reduce HbA1c levels.

METHOD

We utilized an experimental study with a convenience sample of 143 participants systematically grouped into control and experimental. The experimental group only received a structured educational intervention based on the health belief model. Pre- and post-intervention data for diabetic knowledge, self-efficacy, and HbA1c were analyzed using the independent T and ANOVA tests.

RESULTS

We observed significant between-group differences for diabetic knowledge (t (116) = 7.22, p<0.001), self-efficacy t (96)=5.323, p<0.001; and HbA1c level t (121) =-2.87, p =.003. We also observed significant within-group differences for diabetic knowledge, t (12.6), p<0.001); self-efficacy t (5.32), p<.001); and HbA1c, t (4.4), p<0.001, in the experimental group only.

CONCLUSIONS

This study reveals the effect of a structured education intervention in increasing diabetic knowledge and self-efficacy while reducing HbA1c levels in T2DM patients in Eldoret, Kenya.

摘要

简介

文献支持 2 型糖尿病(T2DM)患者糖尿病知识增加与健康结果改善之间的关系。在肯尼亚,高危人群对 T2DM 的症状、并发症和管理策略仍然存在知识差距,难以达到所需的个人和社区健康水平。该项目的目的是确定在肯尼亚埃尔多雷特为患者提供结构化教育干预是否会提高糖尿病知识和自我效能感并降低 HbA1c 水平。

方法

我们采用了一项实验研究,使用便利样本,将 143 名参与者系统地分为对照组和实验组。实验组仅接受基于健康信念模型的结构化教育干预。使用独立 T 检验和 ANOVA 检验分析糖尿病知识、自我效能感和 HbA1c 的干预前后数据。

结果

我们观察到糖尿病知识(t (116) = 7.22,p <0.001)、自我效能感 t (96)=5.323,p <0.001;和 HbA1c 水平 t (121) =-2.87,p =.003)存在显著的组间差异。我们还观察到实验组仅在糖尿病知识方面存在显著的组内差异(t (12.6),p <0.001)、自我效能感 t (5.32),p <0.001);和 HbA1c,t (4.4),p <0.001)。

结论

这项研究表明,在肯尼亚埃尔多雷特,结构化教育干预可提高 T2DM 患者的糖尿病知识和自我效能感,同时降低 HbA1c 水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f40/11217845/8bc31a89f341/AFHS2401-0163Fig1.jpg

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