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. 2015 Jul;6(4):479-86.
doi: 10.1111/jdi.12311. Epub 2014 Dec 29.

Effect of peer education on self-management and psychological status in type 2 diabetes patients with emotional disorders

Yan Liu  1 , Ying Han  1 , Jieli Shi  1 , Ruixia Li  1 , Sufen Li  1 , Nana Jin  1 , Yong Gu  2 , Honglei Guo  3
Affiliations

Effect of peer education on self-management and psychological status in type 2 diabetes patients with emotional disorders

Yan Liu et al. J Diabetes Investig. 2015 Jul.

Abstract

Aims/introduction: The purpose of the present study was to assess the effect of peer education in type 2 diabetes patients with emotional disorders on the metabolic index and psychological status.

Materials and methods: Educators use psychological scales to screen type 2 diabetes patients with emotional disorders. Participants were divided into usual and peer education groups. Both groups received usual diabetes education. Peer leaders were recruited to provide support with the peer education group for 6 months. The metabolic index, diabetes knowledge, self-management, diabetes-related distress, emotional status and quality of life were compared at the end of the study.

Results: A total of 127 patients participated in the study. There were 20 peer leaders engaged in the study as volunteers for peer education. All participants completed the study and fulfilled the scales. Improvements in the peer education group were significant compared with the usual education group with respect to anxiety (49.0 ± 9.65 vs 54.0 ± 8.48), depression (51.3 ± 7.97 vs 55.8 ± 7.52), diabetes knowledge (18.8 ± 2.46 vs 16.3 ± 2.08), distress (2.67 ± 0.55 vs 3.02 ± 0.56), self-management (66.5 ± 4.26 vs 62.4 ± 5.88) and quality of life (-1.98 ± 0.82 vs -2.50 ± 0.71), whereas no significant difference existed with respect to the metabolic index.

Conclusions: Peer education, providing more attention to diabetes patients with emotional disorders, is a preferred model for delivering care.

Keywords: Emotional disorders; Peer education; Self-management.

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Figures

Figure 1
Figure 1
The improvements of percentage change at follow up relative to baseline (*P < 0.05). ADDQoL, Audit of Diabetes Dependent Quality of Life; DDS, Diabetes-related Distress Scale; DKT, Diabetes Knowledge Test; DSCS, Diabetes Self-care Scale; PEG, peer education group; SAS, Self-rating Anxiety Scale; SDS, Self-rating Depression Scale; UEG, usual education group.
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