Cluster randomised controlled trial: Educational self-care intervention with older Taiwanese patients with Type 2 diabetes mellitus——Impact on blood glucose levels and diabetic complications

摘要: Summary Aims To investigate whether self care behaviours, medical outcomes and quality of life Taiwanese elderly with Type 2 diabetes mellitus (DM) can be improved by delivery an educational health package. Background DM is a major problem in developed developing countries, older adults constituting about half the diabetic population. most rapidly increasing chronic disease Taiwan. Methods During 2005 2006, ( n =500) were randomly allocated to either intervention or control group. Data collection using validated instruments occurred at baseline 6 months follow-up. Main outcome measures blood glucose levels complications. Results At baseline, 88.4% participants 78.8% experimental group had level above normal range p =0.076); respective results 92.4% for 60.4% =0.002) follow-up compared Occurrence complications was significantly fewer month (baseline: 42.0% versus 82.1%, =0.003; follow-up: 48.4% 87.0%; =0.006). Conclusion Although overall occurrence remained unchanged, package specifically levels.