PMID- 31621181 OWN - NLM STAT- MEDLINE DCOM- 20200706 LR - 20220411 IS - 1741-6787 (Electronic) IS - 1545-102X (Linking) VI - 16 IP - 6 DP - 2019 Dec TI - Effects of a Symptom Management Program for Patients With Type 2 Diabetes: Implications for Evidence-Based Practice. PG - 433-443 LID - 10.1111/wvn.12400 [doi] AB - BACKGROUND: Findings from previous studies examining the effectiveness of symptom management on patients with diabetes that were implemented in home settings were inconclusive. Exploring the effects of a diabetes symptom management program on patients with type 2 diabetes mellitus (T2DM) in clinical settings is useful for healthcare providers to improve their diabetes care. AIMS: To examine the effects of a diabetes symptom management program (DSMP) on HbA1c levels, self-care behaviors, quality of life (QoL), and symptom severity in clinics in patients with T2DM. METHODS: This study was a single-blind randomized controlled trial. The control group (n = 30) received usual care. The experimental group (n = 30) received DSMP and usual care. The primary outcome variable was HbA1c levels; the secondary outcome variables were self-care behaviors, QoL, and diabetes symptom severity. Outcome variables were measured at baseline (T0), 3 months (T1) and 6 months after the intervention (T2), and HbA1c levels were further collected at 9 months after the intervention (T3). RESULTS: The decreasing levels of HbA1c from T0 to T2 and from T0 to T3 and for severity of diabetes symptoms from T0 to T2 in the experimental group were significantly better than those in the control group. The increasing levels of self-care behavior and QoL from T0 to T1 and from T0 to T2 in the experimental group were significantly higher than those in the control group. LINKING EVIDENCE TO ACTION: DSMP implemented in the clinic setting has effects on improving HbA1c, self-care behaviors, QoL, and preventing worsening severity of diabetes symptoms for outpatients with T2DM. Healthcare providers could assess diabetes symptoms of patients with high HbA1c levels and provide symptom management care rather than merely providing education on improvement of self-care behaviors. CI - (c) 2019 Sigma Theta Tau International. FAU - Lin, Li-Ying AU - Lin LY AD - Department of Nursing, Kaohsiung Veterans General Hospital, Kaohsiung City, Taiwan. AD - Department of Nursing, Meiho University, Kaohsiung City, Taiwan. FAU - Lee, Bih-O AU - Lee BO AD - College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Nursing Department, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan. FAU - Wang, Ruey-Hsia AU - Wang RH AUID- ORCID: 0000-0001-9323-7389 AD - College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan. LA - eng GR - VGHKS104-031/Taiwan Kaohsiung Veterans General Hospital/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20191016 PL - United States TA - Worldviews Evid Based Nurs JT - Worldviews on evidence-based nursing JID - 101185267 SB - IM MH - Aged MH - Chi-Square Distribution MH - Diabetes Mellitus, Type 2/nursing/*therapy MH - Disease Management MH - Evidence-Based Practice/methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Self-Management/methods MH - Single-Blind Method MH - Surveys and Questionnaires MH - Syndrome OTO - NOTNLM OT - HbA1c OT - Type 2 diabetes mellitus OT - diabetes symptoms OT - quality of life OT - self-care behaviors OT - symptom management EDAT- 2019/10/18 06:00 MHDA- 2020/07/07 06:00 CRDT- 2019/10/18 06:00 PHST- 2019/05/09 00:00 [accepted] PHST- 2019/10/18 06:00 [pubmed] PHST- 2020/07/07 06:00 [medline] PHST- 2019/10/18 06:00 [entrez] AID - 10.1111/wvn.12400 [doi] PST - ppublish SO - Worldviews Evid Based Nurs. 2019 Dec;16(6):433-443. doi: 10.1111/wvn.12400. Epub 2019 Oct 16.