Objective Jordan has a high prevalence of painful diabetic peripheral neuropathy (PDPN), leg complications, and amputations due to diabetes. This study evaluated the effect of educational programs on pain management, self-efficacy behaviors, and quality of life (QoL) among adult patients with PDPN. Methods The randomized controlled trial study was conducted at the Jordanian Ministry of Health hospitals between October 2019 – March 2020. Seventy-two adult patients with PDPN were randomized to an experimental group of 36 patients who attended an educational program and a control group who followed routine diabetic care in the study setting. The data were collected using a socio-demographic and diabetes clinical/laboratory data form, the numeric rating scale (NRS), diabetes self-efficacy scale (DSES), and the quality-of-life questionnaire (EQ-5D). The intervention program consisted of four educational sessions at weekly intervals. Pre-test and post-test evaluations were conducted. Results After the educational intervention, the mean scores of the NRS (p=0.020), DSES (p<0.001), and EQ-5D (p<0.001) in the experimental group improved significantly improved compared to those in the control group. Additionally, while there were no significant correlations between the three study outcomes in the pre-test stage, correlations were observed to be significant after the educational intervention. Conclusion This study shows that the design and implementation of educational intervention combined with routine diabetic care facilitate effective pain management, self-efficacy behaviors, and QoL of patients with PDPN. The health care providers are recommended to use the educational programs for such patients at various levels of services in both health centers and diabetes clinics.

中文翻译：

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教育计划对患有周围神经病变疼痛的成年糖尿病患者的疼痛管理、自我效能行为和生活质量的影响：一项随机对照试验

目的 约旦的疼痛性糖尿病周围神经病变 (PDPN)、腿部并发症和糖尿病截肢的患病率很高。本研究评估了教育计划对成人 PDPN 患者疼痛管理、自我效能行为和生活质量 (QoL) 的影响。方法 随机对照试验研究于 2019 年 10 月至 2020 年 3 月在约旦卫生部医院进行。72 名 PDPN 成年患者被随机分配到一个由 36 名参加教育计划的患者组成的实验组和一个遵循常规的对照组。研究环境中的糖尿病护理。使用社会人口学和糖尿病临床/实验室数据表、数字评定量表 (NRS)、糖尿病自我效能量表 (DSES) 和生活质量问卷 (EQ-5D) 收集数据。干预计划包括每周间隔的四次教育课程。进行了前测和后测评估。结果教育干预后，实验组NRS（p=0.020）、DSES（p<0.001）、EQ-5D（p<0.001）平均分较对照组有显着提高。此外，虽然在预测试阶段这三个研究结果之间没有显着的相关性，但在教育干预后观察到相关性是显着的。结论 本研究表明，教育干预与常规糖尿病护理相结合的设计和实施有助于 PDPN 患者的有效疼痛管理、自我效能行为和生活质量。