Diyabetik Hastalarda Özelleştirilmiş Eğitim Programının Metabolik Parametreler Üzerine Etkisi
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Tarih
2019
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: HbA1c metabolik kontrolün ölçüsü olarak kullanılmakta olup, üç aylık ortalama kan şekeri değerinigöstermektedir. Diyabet eğitiminin metabolik kontrol, duygusal durum ve öz-bakım üzerine uzun vadeliyararları gösterilmiştir. Bu çalışmada, diyabet kongresi ve yaz okulu öncesi ile sonrasında ölçülen HbA1cdüzeyleri karşılaştırılarak, eğitim programının metabolik kontrol üzerindeki etkisinin incelenmesi amaçlandı.Yöntem: Bu çalışmada, diyabet kongresine ve yaz okuluna katılan, diyabetli çocuk ve aileleri ile erişkindiyabetlilere diyabet eğitimi verildi. Katılımcıların eğitim öncesi ve sonrası HbA1c ölçümleri yapıldı. Başkabir klinikten takip edilen hastaların söyledikleri HbA1c değerleri kabul edildi.Bulgular: Bu çalışmada, diyabet kongresine katılan 91 diyabetli arasından, 57 kişi çalışmaya dahil edildi.Yaz okuluna ise 58 diyabetli hasta katıldı. Kongre öncesi ortalama HbA1c değeri 8,88, kongre sonrası 8,76iken, yaz okulu öncesi ortalama HbA1c değeri 9,94, sonrası ise 9,6 olarak bulundu. Kongre ve yaz okulununöncesindeki ve sonrasındaki HbA1c düzeyleri arasında istatistiksel olarak anlamlı fark bulunmadı.Sonuç: Çalışmamızda, diyabetli bireylerde komplikasyonların azaltılması için iyi HbA1c değerleri hedeflenmektedir. Bu hedefi tutturmak için bireylerin motivasyonlarının artırılması, hastaların ve ailelerin diyabeteğitimlerinin tekrarlanması ve eğitimin sürekliliği gerekmektedir.
Objective: In diabetes mellitus, HbA1c is used as an indicator for metabolic control and shows the average of blood glucose levels over the past three months. Long-term benefits of diabetes education on metabolic control, emotional state and self-care have been shown. In this study, we have compared HbA1c levels measured before and after diabetes congress and summer school and aimed to investigate the effect of the training program on metabolic control. Methods: Diabetes education was provided for diabetic children, their families and adults that attended diabetes congress and summer school. HbA1c levels of the participants were measured before and after diabetes education. For patients followed from another clinics, declared HbA1c values were accepted. Results: Fifty-seven individuals among 91 diabetic patients who attended the Diabetes Congress were included in the study Fifty-eight diabetic patents participated in summer school. Average HbA1c levels of the participants before, and after the congress were found to be 8.88%, and 8.76%, respectively. Average HbA1c levesl were found to be 9.94%, and 9.6% before, and after the summer school trainings, respectively. There was no statistical significant differences between the HbA1c values before and after the education programmes. Conclusion: In diabetic individuals good HbA1c values were targeted to reduce complications. In order to achieve this goal, it is necessary to increase the motivation of the individuals, to repeat, and sustain the diabetes education programs of the patients and their families.
Objective: In diabetes mellitus, HbA1c is used as an indicator for metabolic control and shows the average of blood glucose levels over the past three months. Long-term benefits of diabetes education on metabolic control, emotional state and self-care have been shown. In this study, we have compared HbA1c levels measured before and after diabetes congress and summer school and aimed to investigate the effect of the training program on metabolic control. Methods: Diabetes education was provided for diabetic children, their families and adults that attended diabetes congress and summer school. HbA1c levels of the participants were measured before and after diabetes education. For patients followed from another clinics, declared HbA1c values were accepted. Results: Fifty-seven individuals among 91 diabetic patients who attended the Diabetes Congress were included in the study Fifty-eight diabetic patents participated in summer school. Average HbA1c levels of the participants before, and after the congress were found to be 8.88%, and 8.76%, respectively. Average HbA1c levesl were found to be 9.94%, and 9.6% before, and after the summer school trainings, respectively. There was no statistical significant differences between the HbA1c values before and after the education programmes. Conclusion: In diabetic individuals good HbA1c values were targeted to reduce complications. In order to achieve this goal, it is necessary to increase the motivation of the individuals, to repeat, and sustain the diabetes education programs of the patients and their families.
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Kaynak
İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi
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9
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3
