摘要
目的探讨慢性病自我管理方法对社区老年2型糖尿病患者的效果。方法在河北保定市区选择2个社区60岁及以上2型糖尿病患者为研究对象，其中一个社区为对照组，另一社区为干预组。在干预社区开展以慢性病自我管理理论为指导，专家授课、面对面咨询、病友交流为主要方式的健康教育活动，对照组采用社区常规管理。利用糖尿病患者自我效能量表，在干预前后对干预组和对照组进行调查，通过比较两组干预前后自我效能的变化以及空腹血糖和糖化血红蛋白的变化，评价干预效果。结果干预组糖尿病控制自我效能总分提高为（16．9±5．3）分，高于对照组（0．4±1．3）分（t=21．317，P〈0．01），各个维度得分提高分数亦高于对照组，差异有统计学意义（均P〈0．01）；干预组干预前后空腹血糖和糖化血红蛋白降低幅度分别为（1．8±1．7）mmol／L和（0．7±1．2）％，高于对照组（0．9±0．9）mmol／L和（0．1±0．7）％，差异有统计学意义（t=6．096，P〈0．01；t=2．930，P〈0．05）。结论慢性病自我管理方法可以提高患者糖尿病控制自我效能，改善血糖控制水平。
Objective To evaluate the effectiveness of chronic diseases self-management model for the aged patients with type 2 diabetes mellitus in communities. Methods Patients with T2DM aged over 60 years and over in two communities in Baoding were selected： one as intervention community and the other as control community. The intervention community underwent the chronic diseases self-management theory-based education by expert, face to face consultation and patient communication, while the control community received general community management. The scores of self-efficacy were collected before the sessions and 3 months after the end of the sessions, and the effectiveness of the intervention was evaluated by the changes of scores, fasting blood-glucose and hemoglobin Alc （HbA1c） before and after the session. The pure increment level of scores of diabetes self-efficacy was higher in the intervention community than in the control community [（ 16.9 ± 5.3） scores vs. （0.4±1.3） scores, t=21.317, P〈0.01]. Results All dimension values were also significantly higher in the intervention group than in control community （P〈0.01 ）. The pure decrement level of fasting blood glucose （1.8 ± 1.7） % and HbA1c （0.7 ± 1.2） % after intervention was significantly higher in the intervention than in control community （t= 6. 096, P〈0. 01;t= 2. 930, P〈0.05）. Conclusions The chronic diseases self-management education may significantly improve patients＇ self-efficacy and decrease the level of blood-glucose and HbAlc.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2014年第6期619-621,共3页
Chinese Journal of Geriatrics
关键词
糖尿病
2型
慢性病
健康教育
Diabetes mellitus,type 2
Chronic diseases
Health education
