Diabetes education in primary care: a randomized clinical trial

Detalhes bibliográficos
Autor(a) principal: Maria de Fatima Ferreira Grillo
Data de Publicação: 2016
Outros Autores: Cristina Rolim Neumann, Suzana Fiore Scain, Raquel Farias Rozeno, Luis Beloli, Tiago Perinetto, Jorge Luiz Gross, Cristiane Bauermann Leitão
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076
Resumo: The aim of the study was to evaluate the effect of a structured group education program administered by a primary care nurse in patients with type 2 diabetes mellitus. The sample included 137 patients with type 2 diabetes mellitus, randomized into two groups: intervention (5-week educational course and reinforcements every 4 months for one year) and control (with no structured diabetes mellitus education) with an evaluation of metabolic control, weight, blood pressure, distress scores, and knowledge on diabetes. There were no differences between the two groups in HbA1c at 4, 8, or 12 months when compared to baseline values. An increase in HbA1c was observed in the control group after adjusting for baseline HbA1c and insulin dose (p = 0.044 between groups). Knowledge scores and diabetes-related distress improved after the intervention. A structured educational program administered to type 2 diabetes mellitus patients seen at a primary care unit improved the knowledge and distress associated with the disease. The results also suggest the prevention of an increase in HbA1c.
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spelling Diabetes education in primary care: a randomized clinical trialDiabetes MellitusHealth EducationPrimary Health CareThe aim of the study was to evaluate the effect of a structured group education program administered by a primary care nurse in patients with type 2 diabetes mellitus. The sample included 137 patients with type 2 diabetes mellitus, randomized into two groups: intervention (5-week educational course and reinforcements every 4 months for one year) and control (with no structured diabetes mellitus education) with an evaluation of metabolic control, weight, blood pressure, distress scores, and knowledge on diabetes. There were no differences between the two groups in HbA1c at 4, 8, or 12 months when compared to baseline values. An increase in HbA1c was observed in the control group after adjusting for baseline HbA1c and insulin dose (p = 0.044 between groups). Knowledge scores and diabetes-related distress improved after the intervention. A structured educational program administered to type 2 diabetes mellitus patients seen at a primary care unit improved the knowledge and distress associated with the disease. The results also suggest the prevention of an increase in HbA1c.El objetivo de este estudio fue evaluar el efecto de un programa de educación estructurada en grupo, aplicado por la enfermera de atención primaria para pacientes con diabetes mellitus tipo 2. La muestra incluyó a 137 pacientes con diabetes mellitus tipo 2, aleatorizados en dos grupos: intervención (curso de formación de 5 semanas, com refuerzos cada 4 meses durante un año) y el grupo de control (sin educación estructurada) para evaluar el control metabólico, peso, presión arterial, niveles de estrés y conocimientos relacionados con la diabetes. No hubo diferencias entre los grupos en HbA1c en 4, 8 ó 12 meses en comparación con los valores basales. Se observó un aumento de HbA1c en el grupo de control después del ajuste de HbA1c en la línea de base y a la dosis de la insulina (p = 0,044 entre grupos). Las puntuaciones de los conocimientos y del estrés relacionadas con la diabetes mejoraron después de la intervención. Un programa educativo estructurado ofrecido a los pacientes con diabetes mellitus tipo 2 tratados en la atención primaria mejoró el conocimiento y el estrés asociado con la enfermedad. Por otra parte, nuestros resultados sugieren una prevención elevada de la HbA1c.O objetivo deste estudo foi avaliar o efeito de um programa de educação estruturado em grupo, aplicado por enfermeira de cuidados primários a pacientes com diabetes mellitus tipo 2. A amostra contou com 137 pacientes com diabetes mellitus tipo 2, randomizados em dois grupos: intervenção, (curso educativo de cinco semanas e reforços a cada 4 meses, durante um ano) e grupo controle (sem educação estruturada) com avaliação do controle metabólico, peso, pressão arterial, escores de estresse e conhecimento relacionados ao diabetes. Não houve diferenças entre os grupos na HbA1c em 4, 8 ou 12 meses, quando comparado aos valores basais. Foi observado um incremento na HbA1c no grupo controle após ajustes para HbA1c no basal e dose de insulina (p = 0,044 entre grupos). Os escores de conhecimento e estresse relacionados ao diabetes melhoraram após a intervenção. Um programa educacional estruturado ministrado à pacientes com diabetes mellitus tipo 2 atendidos em atenção primaria melhorou o conhecimento e estresse associados à doença. Além disso, nossos resultados sugerem uma prevenção de elevação da HbA1c.Reports in Public HealthCadernos de Saúde Pública2016-05-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076Reports in Public Health; Vol. 32 No. 5 (2016): MayCadernos de Saúde Pública; v. 32 n. 5 (2016): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076/12810https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076/12811Maria de Fatima Ferreira GrilloCristina Rolim NeumannSuzana Fiore ScainRaquel Farias RozenoLuis BeloliTiago PerinettoJorge Luiz GrossCristiane Bauermann Leitãoinfo:eu-repo/semantics/openAccess2024-03-06T15:29:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6076Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:06:56.770947Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Diabetes education in primary care: a randomized clinical trial
title Diabetes education in primary care: a randomized clinical trial
spellingShingle Diabetes education in primary care: a randomized clinical trial
Maria de Fatima Ferreira Grillo
Diabetes Mellitus
Health Education
Primary Health Care
title_short Diabetes education in primary care: a randomized clinical trial
title_full Diabetes education in primary care: a randomized clinical trial
title_fullStr Diabetes education in primary care: a randomized clinical trial
title_full_unstemmed Diabetes education in primary care: a randomized clinical trial
title_sort Diabetes education in primary care: a randomized clinical trial
author Maria de Fatima Ferreira Grillo
author_facet Maria de Fatima Ferreira Grillo
Cristina Rolim Neumann
Suzana Fiore Scain
Raquel Farias Rozeno
Luis Beloli
Tiago Perinetto
Jorge Luiz Gross
Cristiane Bauermann Leitão
author_role author
author2 Cristina Rolim Neumann
Suzana Fiore Scain
Raquel Farias Rozeno
Luis Beloli
Tiago Perinetto
Jorge Luiz Gross
Cristiane Bauermann Leitão
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Maria de Fatima Ferreira Grillo
Cristina Rolim Neumann
Suzana Fiore Scain
Raquel Farias Rozeno
Luis Beloli
Tiago Perinetto
Jorge Luiz Gross
Cristiane Bauermann Leitão
dc.subject.por.fl_str_mv Diabetes Mellitus
Health Education
Primary Health Care
topic Diabetes Mellitus
Health Education
Primary Health Care
description The aim of the study was to evaluate the effect of a structured group education program administered by a primary care nurse in patients with type 2 diabetes mellitus. The sample included 137 patients with type 2 diabetes mellitus, randomized into two groups: intervention (5-week educational course and reinforcements every 4 months for one year) and control (with no structured diabetes mellitus education) with an evaluation of metabolic control, weight, blood pressure, distress scores, and knowledge on diabetes. There were no differences between the two groups in HbA1c at 4, 8, or 12 months when compared to baseline values. An increase in HbA1c was observed in the control group after adjusting for baseline HbA1c and insulin dose (p = 0.044 between groups). Knowledge scores and diabetes-related distress improved after the intervention. A structured educational program administered to type 2 diabetes mellitus patients seen at a primary care unit improved the knowledge and distress associated with the disease. The results also suggest the prevention of an increase in HbA1c.
publishDate 2016
dc.date.none.fl_str_mv 2016-05-31
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076/12810
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6076/12811
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 32 No. 5 (2016): May
Cadernos de Saúde Pública; v. 32 n. 5 (2016): Maio
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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