Education and quality of life in diabetic patients.
The aim of the present randomized, controlled study was to evaluate the effect of a 5-day teaching program for diabetic patients on their quality of life 1 and 2 years afterwards. Three hundred and nineteen insulin-treated patients, of mean age 38.2+/-14.1 years and mean duration of the disease 9.0+/-6.9 years were followed up at reeducation sessions 1 and 2 years after the program. A group of 241 insulin-treated patients were also followed up and served as a control group. At baseline and 1 and 2 years later, we have assessed patients' well-being, using a standard 22-item questionnaire. There was a significant increase in overall well-being of patients one (P <0.0001) and 2 years (P <0.001) after the program, due to reduction in depression and anxiety and increase in positive well-being after 1 year and decrease in depression and increase in positive well-being after 2 years as compared to the control group. There was an improvement in glycaemic control of the educated patients as compared to the control group (P <0.01). The results from the present study demonstrate that structured patient education improves patients' well-being 1 and 2 years after the teaching program.
Tankova
Tsvetalina
T
Department of Diabetology, Clinical Centre of Endocrinology, Medical University, 6, Damjan Gruev Str., 1303 Sofia, Bulgaria. Tankova@iname.com
Dakovska
Galina
G
Koev
Dragomir
D
D000328:Adult; D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control; D001294:Attitude to Health; D002031:Bulgaria; D003479:Curriculum; D003863:Depression / Q000209:etiology / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000378:metabolism / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000378:metabolism; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D011788:Quality of Life; D012657:Self-Help Groups / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
D006442:Glycated Hemoglobin