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Empowerment and metabolic control in patients with diabetes mellitus

Empowerment and metabolic control in patients with diabetes mellitus
Empowerment and metabolic control in patients with diabetes mellitus
Objective: Metabolic control is believed to be central to positive clinical outcome in patients with diabetes. Empowerment has been linked to improved metabolic control in this clinical group, though such a relationship remains equivocal. The current study sought to determine if patient empowerment predicted metabolic control. Design: A cross-sectional study design was used with all observations taken on one occasion. Setting: Participants were assessed at a diabetes specialist out-patient clinic. Participants: 189 patients participated in the study. The majority of patients had type 2 diabetes mellitus (N = 158, 84%). Main outcome measures: Empowerment was assessed using the Chinese Diabetes Empowerment Scale. Metabolic control was assessed by reference to blood HbA1c levels. Results: C-DES sub-scale scores explained little variation in HbA1c levels. Conclusions: There appears to be no relationship between patient empowerment and metabolic control in this clinical group. Nurses working within an empowerment model with patients with diabetes should be aware of a possibility of a non linear relationship and the complexity involved in maintaining good metabolic control.
diabetes, empowerment, HbA1c, metabolic control
1361-9004
88-91
Shiu, A.T.Y.
8a252129-4b2c-4a4b-833b-2ab30de2ad63
Martin, C.R.
bfedad3c-35d3-409a-b1e4-143aa154099e
Thompson, D.R.
1d9c2d44-fc82-4f30-a7c8-0563650852b9
Wong, R.Y.M.
cf0849bd-17bf-4233-bb40-a8281dc2277f
Shiu, A.T.Y.
8a252129-4b2c-4a4b-833b-2ab30de2ad63
Martin, C.R.
bfedad3c-35d3-409a-b1e4-143aa154099e
Thompson, D.R.
1d9c2d44-fc82-4f30-a7c8-0563650852b9
Wong, R.Y.M.
cf0849bd-17bf-4233-bb40-a8281dc2277f

Shiu, A.T.Y., Martin, C.R., Thompson, D.R. and Wong, R.Y.M. (2005) Empowerment and metabolic control in patients with diabetes mellitus. Clinical Effectiveness in Nursing, 9 (1-2), 88-91. (doi:10.1016/j.cein.2005.04.003).

Record type: Article

Abstract

Objective: Metabolic control is believed to be central to positive clinical outcome in patients with diabetes. Empowerment has been linked to improved metabolic control in this clinical group, though such a relationship remains equivocal. The current study sought to determine if patient empowerment predicted metabolic control. Design: A cross-sectional study design was used with all observations taken on one occasion. Setting: Participants were assessed at a diabetes specialist out-patient clinic. Participants: 189 patients participated in the study. The majority of patients had type 2 diabetes mellitus (N = 158, 84%). Main outcome measures: Empowerment was assessed using the Chinese Diabetes Empowerment Scale. Metabolic control was assessed by reference to blood HbA1c levels. Results: C-DES sub-scale scores explained little variation in HbA1c levels. Conclusions: There appears to be no relationship between patient empowerment and metabolic control in this clinical group. Nurses working within an empowerment model with patients with diabetes should be aware of a possibility of a non linear relationship and the complexity involved in maintaining good metabolic control.

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More information

Published date: March 2005
Keywords: diabetes, empowerment, HbA1c, metabolic control

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Local EPrints ID: 37524
URI: http://eprints.soton.ac.uk/id/eprint/37524
ISSN: 1361-9004
PURE UUID: c67523c8-bddc-4675-a157-7a7c78c92866

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Date deposited: 22 May 2006
Last modified: 15 Mar 2024 07:59

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Contributors

Author: A.T.Y. Shiu
Author: C.R. Martin
Author: D.R. Thompson
Author: R.Y.M. Wong

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