Clinical diabetes control with reciprocal peer support versus nurse care management
10.3760/cma.j.issn.1674-2907.2011.28.003
- VernacularTitle:同伴互动支持模式在糖尿病患者自我管理中的应用
- Author:
Li-Fang XIA
1
;
Hai-Xia SUN
;
Xiao-Xia WANG
;
Shuang YAN
;
Wen-Fang CAI
;
Shu-Ling YU
;
Shu-Yan LIU
;
Ze-Hui FANG
Author Information
1. 哈尔滨医科大学附属四院
- Keywords:
Type 2 diabetes;
Nurse care management;
Reciprocal peer-support program
- From:
Chinese Journal of Modern Nursing
2011;17(28):3356-3358
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare a reciprocal peer-support (RPS) program with nurse care management (NCM) in clinical diabetes control.Methods Choosing 174 type 2 diabetic patients in hospital,dividing them into NCM group and RPS group randomly.The primary outcome with 6-month changes in HbA1clevel,insulin therapy,and blood pressure and patience reports of medication adherence,diabetes-related support,and emotional distress were compared between the two groups.Results Mean HbA1c level decreased from 8.02％ to 7.73％ in the RPS group and increased from 7.93％ to 8.22％ in the NCM group.The difference in HbA1c change between groups was 0.58％ (t =2.732,P ＜ 0.05 ).Eight patients in the RPS group started insulin therapy,compared with 1 patient in the NCM group (P＜0.05).Groups did not differ in blood pressure,self-reported medication adherence,or diabetes-specific distress ( P ＞ 0.05 ),but the RPS group reported improvement in diabetes social support.Conclusions Reciprocal peer support holds promise as a method for diabetes care management.
