自我管理模式在社区2型糖尿病患者中的应用效果.docVIP

自我管理模式在社区2型糖尿病患者中的应用效果 　　[摘要] 目的 探讨自我管理模式对社区2型糖尿病患者的效果。 方法 选取社区120例2型糖尿病患者，所有研究对象均在规范管理的基础上定期接受糖尿病自我管理教育干预，比较干预前后患者对糖尿病相关知识的知晓率及血糖、血压、体重指数的变化情况，评价患者的自我管理效能。 结果 干预后患者的糖尿病相关知识知晓率及自我管理知识掌握的水平明显高于干预前，差异有统计学意义（P0.05）；干预后患者空腹血糖、餐后2 h血糖、糖化血红蛋白水平、体重指数及血压较干预前均有显著改善，差异有统计学意义（P0.05或P0.01）。 结论 社区2型糖尿病患者通过自我管理，养成健康的生活方式，能极大提高血糖、血压的控制率，有效预防和控制糖尿病并发症的发生、发展，提高患者的生活质量。 　　[关键词] 社区；糖尿病；自我管理；效果 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2015）08（b）-0152-03 　　Application effect of self-management mode on type 2 diabetic patients in community 　　LI Qiu-hong WU Xiao-ying WU Xiao-ya▲ 　　Chronic Disease Management Division，Community Health Center of Shipai Street in Tianhe District，Guangzhou 510630，China 　　[Abstract] Objective To explore the effect of self-management mode on type 2 diabetic patients in community. Methods One hundred and twenty type 2 diabetic patients in community were selected.On the basis of standardized management，all participants were regularly accepted with self-management educational intervention on diabetes mellitus in order to compare the awareness rate of diabetes-related knowledge，changes of blood glucose，blood pressure，and constitutional index as well as to evaluate patients′ self-management efficiency. Results After intervention，the awareness rate of diabetes-related knowledge and self-management level were significantly higher than those before intervention （P0.05）.Three indexes including fasting blood glucose，2 h postprandial blood glucose，glycosylated hemoglobin， blood pressure and constitutional index after intervention were greatly improved in comparison with those before with statistical differences （P0.05 or P0.01）. Conclusion For type 2 diabetic patients in community，the healthy lifestyle is cultivated through self-management，which greatly improves control rates of blood sugar and blood pressure，effectively prevents and controls the occurrence and development of diabetic complications，and improves the patients′ quality of life. 　　[Key words] Co