Effectiveness of a Problem-Solving Program in Improving Problem-Solving Ability and Glycemic Control for Diabetics with Hypoglycemia

The purpose of this study was to evaluate the effects of a hypoglycemia problem-solving program (HPSP) on problem-solving ability and glycemic control in diabetics with hypoglycemia. This was a prospective, quasi-experimental study with two groups, using a pre- and post-repeated measures design. A t...

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Bibliographic Details
Published inInternational journal of environmental research and public health Vol. 18; no. 18; p. 9559
Main Authors Wu, Fei-Ling, Lin, Chia-Hung, Lin, Chia-Ling, Juang, Jyuhn-Huarng
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 10.09.2021
MDPI
Subjects
Diabetes
Diabetes mellitus
Glucose
Health education
Hypoglycemia
Insulin
Intervention
Patients
Problem solving
Skills
Statistical analysis
Variance analysis
Taiwan
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Summary:The purpose of this study was to evaluate the effects of a hypoglycemia problem-solving program (HPSP) on problem-solving ability and glycemic control in diabetics with hypoglycemia. This was a prospective, quasi-experimental study with two groups, using a pre- and post-repeated measures design. A total of 71 diabetic patients with hypoglycemia were purposively assigned to an experimental group (n = 34) and a control group (n = 37). The experimental group participated in an 8-week HPSP, and each weekly session lasted approximately 90 min, while the control group received usual care. Participants were assessed at baseline, 1, 3, and 6 months after intervention care. In the experimental group, 6 months after the HPSP intervention, HbA1c was superior to that before the intervention. In both groups, the score obtained using the hypoglycemia problem-solving scale (HPSS) was low before the intervention. In the experimental group, HPSS tracking improved at all stages after the intervention compared to before the intervention. In the control group, the HPSS score improved slightly in the first month and sixth months after usual care. There were significant differences between and within groups in HbA1c levels and HPSS score over time. The intervention based on the HPSP effectively improves HbA1c level and hypoglycemia problem-solving ability in patients with hypoglycemia.
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18189559