The Results of the Annual Monitoring Support Patients with Type 2 Diabetes with Elements of Group Training
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Abstract
The objective: assess the influence of group method of training for patients with type 2 diabetes on a 3-month dynamics of glycosylated hemoglobin and lipidogram levels.
Materials and methods. The research was conducted at the outpatient clinics in the rural and urban areas of the Kyiv agglomeration. Sample was formed in accordance with inclusion criteria (verified diagnosis of type 2 diabetes without insulin need, with duration of the disease for more than 2 years, without signs of acute or exacerbation of chronic complications of diabetes or other comorbidities, with an access to the Internet and clear psychiatric history) with a blind distribution into the groups: class (based on the outpatient clinic), remote (using Skype- technology, synchronous interactive form) and control (without additional training). The control check-up (questionnaire, patient review, laboratory material sampling) was done at 3 months after the involvement in the study.
Results. The dynamics of the glycosylated hemoglobin (before and after training) in the groups of class and remote education was 0.67±0.06% (p=0.001) and – 0.21±0.06% (p=0.001). In the control group it was + 0.09±0.03% (p=0.004). The percentage of the quality of life in the groups of class and remote education increased slightly and made up to 4.4±0.99% (p=0.001) and + 5.9±1.21% (p=0.001) respectively. The results in the control group were statistically unreliable. The dynamics of glycosylated hemoglobin and quality of life were characterized by a strong correlation with the level of attendance of the training courses. The Spirman correlation coefficients for glycosylated hemoglobin and quality of life were – 0.733 and + 0.540, respectively (p=0.0001).
Conclusions. Patient education in groups, as part of the integrated management of patients with type 2 diabetes in the practice of a family doctor, has shown its effectiveness, significantly improving the glycemic level in the one-year-perspective. Patients attending of classroom education courses showed a better level of compensation compared to remote one, which is likely due to the better attendance of classroom sessions.##plugins.themes.bootstrap3.article.details##
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