PMID- 30147724
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220321
IS  - 1687-8337 (Print)
IS  - 1687-8345 (Electronic)
IS  - 1687-8337 (Linking)
VI  - 2018
DP  - 2018
TI  - Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients.
PG  - 6530607
LID - 10.1155/2018/6530607 [doi]
LID - 6530607
AB  - BACKGROUND: Health education is considered to be essential in the overall care of 
      patients with type 2 diabetes mellitus (T2DM); systematic health education 
      integrates individual education not only during hospitalization but also extended 
      care outside of a hospital. To test effectiveness of the systematic health 
      education model for T2DM, we conducted a randomized study with a control group 
      among patients with T2DM living in Nanjing, China. METHODS: 998 eligible patients 
      completed the enrollment and were randomized to systematic health education model 
      and conventional model groups (498 and 500 patients, resp.). The systematic 
      health education model was based on the following aspects: image education, 
      visitation of the exhibition hall, dissemination of educational materials, 
      individualized medical nutrition therapy and exercise programs, WeChat group and 
      regular health lectures, evaluation of complications, lifestyle modification, 
      systematic treatment scheme, self-monitoring of glycemic control, monthly 
      evaluation of the therapeutic effect, proposed improvement measures, and 
      individualized follow-up scheme. The main outcome measures were glycated 
      hemoglobin A1c (HbA1c), blood pressure, body mass index (BMI), and lipids during 
      the 2-year follow-up. RESULTS: The systematic health education model led to a 
      favorable variation in HbA1c, LDL cholesterol, and systolic blood pressure (SBP) 
      (P < 0.05). After adjusted analysis, the HbA1c decreased by 0.67% (P < 0.01) in 
      the systematic health education model, SBP decreased by 10.83 mmHg (P < 0.01), 
      and the level of diastolic blood pressure (DBP), HDL cholesterol, and total 
      cholesterol decreased slightly and was not significant. The BMI did not change 
      significantly during the study in either of the two groups. CONCLUSIONS: The 
      systematic health education model is a useful method in the treatment of T2DM 
      because it contributes to decrease in HbA1c, LDL cholesterol, and SBP levels, as 
      well as helps in increasing the compliance with the control criteria, except for 
      DBP and BMI.
FAU - Zhang, Yongwen
AU  - Zhang Y
AUID- ORCID: 0000-0001-5399-9178
AD  - Department of Endocrinology, Nanjing Integrated Chinese and Western Medicine 
      Hospital Affiliated to Nanjing University of Chinese Medicine, Nanjing 210014, 
      China.
FAU - Chu, Lanfang
AU  - Chu L
AUID- ORCID: 0000-0001-5297-4550
AD  - Department of Integrated Traditional Chinese and Western Medicine, Nanjing 
      General Hospital of Nanjing Military Command, Nanjing 210012, China.
LA  - eng
PT  - Journal Article
DEP - 20180725
PL  - Egypt
TA  - Int J Endocrinol
JT  - International journal of endocrinology
JID - 101516376
PMC - PMC6083492
EDAT- 2018/08/28 06:00
MHDA- 2018/08/28 06:01
PMCR- 2018/07/25
CRDT- 2018/08/28 06:00
PHST- 2018/04/12 00:00 [received]
PHST- 2018/06/27 00:00 [accepted]
PHST- 2018/08/28 06:00 [entrez]
PHST- 2018/08/28 06:00 [pubmed]
PHST- 2018/08/28 06:01 [medline]
PHST- 2018/07/25 00:00 [pmc-release]
AID - 10.1155/2018/6530607 [doi]
PST - epublish
SO  - Int J Endocrinol. 2018 Jul 25;2018:6530607. doi: 10.1155/2018/6530607. 
      eCollection 2018.