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Original Article
The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care
Kyung Sun Hyun, Kwang Mi Kim, Sook Hee Jang
Journal of Korean Academy of Nursing 2009;39(5):720-730.
DOI: https://doi.org/10.4040/jkan.2009.39.5.720
Published online: October 31, 2009

1Professor, College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Korea.

2Head Nurse, Kyung Hee Medical Center, Korea.

3Diabetes Educational Nurse, Kyung Hee Medical Center, Seoul, Korea.

Address reprint requests to: Hyun, Kyung Sun. Department of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: 82-2-961-9424, Fax: 82-2-961-9398, hks@khu.ac.kr
• Received: February 23, 2009   • Accepted: September 21, 2009

Copyright © 2009 Korean Society of Nursing Science

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  • Purpose
    The purpose of this study was to test the effects of tailored diabetic education on blood glucose control and self-care for patients with type 2 diabetes on insulin therapy.
  • Methods
    The participants were 60 patients (experimental group: 30, control group: 30) with type 2 diabetes on insulin therapy. The patients were being seen at a university hospital in Seoul, Korea. Group diabetic education and tailored diabetic education were given to the experiment group while group diabetic education only was given to the control group. Data were collected before and three months after the education. χ2 test, t-test, and ANCOVA were used to analyze the data.
  • Results
    No significant differences in postprandial (PP2hrs) glucose and HbA1c levels were found between the two groups. Participants in the experiment group showed statistically significant differences in the area of self-glucose test, management of insulin injection, and life style change compared to those in the control group.
  • Conclusion
    The results indicate that tailored education for patients with diabetes on insulin therapy improve self-glucose test, management of insulin injection, and life style. Therefore it is suggested that tailored education can be applied in diabetic education to improve self-care.
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Table 1
Homogeneity Test of General Characteristics between Experimental and Control Groups
jkan-39-720-i001.jpg

*Missing data were excluded; Fisher's exact test.

Cont.=control group (n=30); Exp.=experimental group (n=30).

Table 2
Homogeneity Test of Disease-related Characteristics between Experimental and Control Group
jkan-39-720-i002.jpg

*Missing data were excluded; Fisher's exact test.

Cont.=control group (n=30); Exp.=experimental group (n=30).

Table 3
Homogeneity Test of Self-Care related Characteristics between Experimental and Control Group
jkan-39-720-i003.jpg

*Missing data were excluded; Fisher's exact test; Multiple answers were allowed.

Cont.=control group (n=30); Exp.=experimental group (n=30).

Table 4
Homogeneity Test of Outcome Variables before Education
jkan-39-720-i004.jpg

Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.

Table 5
Mean Differences of Outcome Variables between Experimental and Control Groups
jkan-39-720-i005.jpg

*F value of ANCOVA with period of insulin injection and pre-test score as covariates.

Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.

Figure & Data

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      The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care
      The Effects of Tailored Diabetes Education on Blood Glucose Control and Self-Care

      Homogeneity Test of General Characteristics between Experimental and Control Groups

      *Missing data were excluded; Fisher's exact test.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Homogeneity Test of Disease-related Characteristics between Experimental and Control Group

      *Missing data were excluded; Fisher's exact test.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Homogeneity Test of Self-Care related Characteristics between Experimental and Control Group

      *Missing data were excluded; Fisher's exact test; Multiple answers were allowed.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Homogeneity Test of Outcome Variables before Education

      Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.

      Mean Differences of Outcome Variables between Experimental and Control Groups

      *F value of ANCOVA with period of insulin injection and pre-test score as covariates.

      Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.

      Table 1 Homogeneity Test of General Characteristics between Experimental and Control Groups

      *Missing data were excluded; Fisher's exact test.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Table 2 Homogeneity Test of Disease-related Characteristics between Experimental and Control Group

      *Missing data were excluded; Fisher's exact test.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Table 3 Homogeneity Test of Self-Care related Characteristics between Experimental and Control Group

      *Missing data were excluded; Fisher's exact test; Multiple answers were allowed.

      Cont.=control group (n=30); Exp.=experimental group (n=30).

      Table 4 Homogeneity Test of Outcome Variables before Education

      Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.

      Table 5 Mean Differences of Outcome Variables between Experimental and Control Groups

      *F value of ANCOVA with period of insulin injection and pre-test score as covariates.

      Cont.=control group (n=30); Exp.=experimental group (n=30); PPq2hrs=2 hr post-prandial blood glucose; HbA1c=glycosylated hemoglobin.


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