文献类型：期刊文献

英文题名：Self-management of Diabetes for Empty Nest Older Adults: A Randomized Controlled Trial

作者：Li, Fang[1];Guo, Shaofan[1];Gong, Wenhuan[2];Xie, Xuejuan[1];Liu, Na[1];Zhang, Qingjing[3];Zhao, Wenjing[1];Cao, Mengjie[1];Cao, Yuzhong[1]

第一作者：李芳

通信作者：Li, F[1]

机构：[1]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Peoples R China;[2]Lanzhou Univ, Sch Hosp Stomatol, Lanzhou, Peoples R China;[3]Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou, Peoples R China

第一机构：甘肃中医药大学护理学院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Sch Nursing, 35 Dingxi Rd East, Lanzhou 730000, Peoples R China.|[107352f23a9081f8152fc]甘肃中医药大学护理学院;[10735]甘肃中医药大学;

年份：2023

卷号：45

期号：10

起止页码：921

外文期刊名：WESTERN JOURNAL OF NURSING RESEARCH

收录：;Scopus(收录号：2-s2.0-85170090969);WOS:【SSCI(收录号:WOS:001090254200008)，SCI-EXPANDED(收录号:WOS:001090254200008)】；

基金：The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by Provincial Natural Science Foundation of Gansu (No. 22JR5RA593) and Foundation for Innovation in Higher School of Gansu province (No. 2022B-124).

语种：英文

外文关键词：diabetes; patient education; diabetes education; self-management; aged; empty nest older adults; PRECEDE-PROCEED

摘要：Background: Despite much evidence showing the effectiveness of structured self-management education for diabetes, poor glycemic control remains a challenge among empty nest older adults. Objective: We explored the effect of a health education intervention based on the PRECEDE-PROCEED model on the self-management of empty nest older adults with type 2 diabetes in Lanzhou, China. Methods: We conducted a 2-armed, randomized controlled trial using a multistage sampling method. A total of 100 patients were randomly assigned to receive either community nurse-led diabetes education based on the PRECEDE-PROCEED model or general community diabetes education. Self-management scores and blood glucose were compared at baseline and at 3 and 6 months after the intervention. Results: Analyses were conducted on the 98 patients completing follow-up. In the experimental group, diabetes self-management knowledge (t = 7.578, P < .001), self-management attitude (t = 9.155, P < .001), self-management behavior (t = 7.809, P < .001), and overall self-management scores (t = 7.626, P < .001) improved, with hemoglobin A(1c) (t = -2.825, P = .006), fasting plasma glucose (t = -3.100, P = .003), 2-hour postprandial blood glucose (t = -3.812, P < .001), and diastolic blood pressure (t = -2.104, P = .038) decreasing compared with the control group at 6 months postintervention. Conclusions: This study demonstrated that education based on the PRECEDE-PROCEED model was more effective than general health education in improving diabetes self-management and glycemic control among empty nest older adults.