1. A Model Clinical Program for Patients With Diabetes and Vision Impairment
- Author
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Stephanie R. Brusca, Stewart G. Albert, Alan B. Silverberg, Jerome D. Cohen, Ami Drimmer, Marla Bernbaum, Paul N. Duckro, and Mario C. Trindade
- Subjects
Adult ,Male ,medicine.medical_specialty ,Depression scale ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,030209 endocrinology & metabolism ,Health Professions (miscellaneous) ,03 medical and health sciences ,0302 clinical medicine ,Patient Education as Topic ,Diabetes mellitus ,Adaptation, Psychological ,medicine ,Humans ,In patient ,030212 general & internal medicine ,Exercise ,Aged ,Glycemic ,Diabetic Retinopathy ,business.industry ,Insulin ,Non insulin dependent diabetes mellitus ,Middle Aged ,medicine.disease ,Self Concept ,Self Care ,Walk test ,Physical therapy ,Female ,business ,Psychosocial - Abstract
A program was developed to improve independence, self-esteem, and glycemic control in patients with diabetes and blindness. Twenty-nine individuals with both insulin-dependent and noninsulin-dependent diabetes mellitus entered 12-week programs that included education focusing on diabetes self-management skills for the visually impaired, monitored exercise sessions, and group support. Glycated hemoglobin values fell from 13.0% +/- 0.6% (SEM) to 11.4% +/- 0.5% (P = .001). Exercise tolerance in a 12-minute walk test improved from 0.48 +/- 0.04 to 0.64 +/- 0.05 miles (P = .001). Marked improvements occurred in psychosocial indices, demonstrated through changes in the Rand Mental Health Index from 155 +/- 6 to 174 +/- 5 (P = .0001), the Rosenberg Self-Esteem Scale from 22 +/- 1 to 19 +/- 1 (P = .001), the Zung Depression Scale from 0.50 +/- 0.02 to 0.44 +/- 0.02 (P = .001), and the Diabetes Self-Reliance Test from 60 +/- 3 to 74 +/- 2 (P = .0001).
- Published
- 1989
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