同伴支持干预对社区空巢老年糖尿病患者生活质量影响.docVIP

同伴支持干预对社区空巢老年糖尿病患者生活质量影响 　　[摘要]目的 探讨同伴支持干预对社区空巢老年糖尿病患者生活质量的影响。方法 选取2015年1～7月深圳市某相邻3个社区共100名确诊治疗的空巢老年糖尿病患者作为研究对象，按照随机数字表法将其分为观察组和对照组，各50名，对照组给予常规糖尿病健康教育及指导，观察组在其基础上给予为期6个月的同伴支持干预措施，比较两组患者自我管理能力、生活质量、糖化血红蛋白（HbA1c）水平及BMI指数。结果 干预前，两组患者自我管理能力5个维度得分结果比较，差异均无统计学意义（P0.05）；干预后观察组患者的各维度得分均有所提高，与干预前比较，差异有统计学意义（P0.05）；观察组各维度得分均高于对照组，差异有统计学意义（P0.05）；干预后观察组患者各指标水平有所降低，与干预前比较，差异有统计学意义（P0.05）；观察组各指标水平均低于对照组，差异有统计学意义（P0.05）。结论 社区空巢老年糖尿病患者采用同伴支持模式干预，能够提高患者自我管理能力，改善患者生活质量，有效的控制血糖波动，值得大力推广。 　　[关键词]同伴支持；空巢老人；糖尿病；生活质量 　　[中图分类号] R473.2 [文献标识码] A [文章编号] 1674-4721（2017）05（a）-0173-04 　　[Abstract]Objective To explore the efficacy of peer support intervention on improving the quality of life in community empty-nest elderly patients with diabetes mellitus.Methods 100 empty-nest elderly patients with diabetes from adjacent communities in Shenzhen were selected in this study from January 2015 to July 2015.The patients were divided into the observation group and the control group according to the random number table method，with 50 cases in each group.Patients in the control group were given routine diabetes health education and guidance，while patients in the observation group were given 6-month peer support intervention on the basis of the control group.The self-management activity，quailty of life，the level of HbA1c and BMI of patients were compared between two groups.Results Before intervention，there were no significantly different among the scores of 5 dimensions of self-management activity in two groups（P0.05）；after intervention，those in the observation group were increased，and compared with those before intervention，the differences were statistically significant（P0.05）.And those in observation group were higher than those in control group，and the differences were statistically significant（P0.05）；after intervention，those in the observation group were all declined，and compared with those before intervention，the differences were statistically significant（P0.05）.And those in observation group