Glycemic control and the psychosocial benefits gained by patients with type 1 diabetes mellitus attending the diabetes camp

被引:39
|
作者
Santiprabhob, Jeerunda [1 ]
Likitmaskul, Supawadee [1 ]
Kiattisakthavee, Pornpimol [1 ]
Weerakulwattana, Praewvarin [1 ]
Chaichanwattanakul, Katharee [1 ]
Nakavachara, Pairunyar [1 ]
Peerapatdit, Thavatchai [2 ]
Nitiyanant, Wannee [2 ]
机构
[1] Mahidol Univ, Siriraj Hosp, Fac Med, Dept Pediat,Div Endocrinol & Metab, Bangkok 10700, Thailand
[2] Mahidol Univ, Siriraj Hosp, Fac Med, Div Endocrinol & Metab,Dept Med, Bangkok 10700, Thailand
关键词
type; 1; diabetes; diabetes camp; glycemic control; self-monitoring of blood glucose;
D O I
10.1016/j.pec.2008.05.023
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: The aim of this study was to evaluate the effectiveness of diabetes camp on glycemic control, knowledge, and psychosocial benefits among patients with type 1 diabetes (T1D). Glycemic control among patients with infrequent and frequent self-monitoring of blood glucose (SMBG) was also compared. Methods: During a 5-day camp, 60 patients were taught diabetes self-management education (DSME). After camp, patients were divided into two groups based on frequency of SMBG (<3 versus 3-4 times/day) and were followed Lip until 6-month post-camp. Patients' HbA1c levels and knowledge were assessed at baseline, 3- and 6-month post-camp. Patients' impressions towards camp were assessed. Results: In both SMBG groups, HbA1c levels decreased significantly at 3-month post-camp but did not Sustain at 6-month monitoring. The patients with frequent SMBG had a lower mean HbA1c level. A significant improvement in knowledge was noted and sustained up to 6-month post-camp. The patients found diabetes camp of benefit and felt they could better cope with diabetes. Conclusions: Although the effect of the diabetes camp on glycemic control was short-lived, an improvement in knowledge and a better attitude towards having diabetes were seen among participants. Practice implications: The psychosocial benefits and knowledge gained by patients attending diabetes Camp underline the importance of including a camp in a diabetes management plan. To improve patients' long-term glycemic control, a continuous education is required. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:60 / 66
页数:7
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