家庭参与式健康管理对社区2型糖尿病患者自护行为影响研究.docVIP

· 4062 · · 论 著 · 家庭参与式健康管理对社区2型糖尿病患者自护行为 影响研究 赵伟，吴国华，王鹏，史小艳，陈玉荣，黑洁，武凯，刘桂萍 【摘要】 目的 探讨家庭参与式的健康管理对社区2型糖尿病患者自护行为的影响。方法 便利选取郑州市3 个社区，通过健康档案选择78例病情稳定的2型糖尿病患者作为研究对象，采用单盲法，将不同社区按整群随机分为 干预组40例和对照组38例。干预组实施以家庭参与式的健康管理教育，对照组进行常规患者教育，干预后3个月比 较两组患者自我护理能力和代谢指标的改善情况。 结果 以家庭为单位的健康管理干预前两组患者各指标差异无统计 学意义 (P0.05)。 干预后3个月，干预组空腹血糖〔(8.34±0.98) mmol/L 比(9.50±1.04) mmol/L〕、 餐后2h 血糖〔(8.97±0.76) mmol/L 比(9.89±0.94)mmol/L〕、 糖化血红蛋白 (HbA,e) 〔(7.40±0.86)% 比(7.98± 0.97)%〕低于对照组，差异均有统计学意义 (P0.05)。 自护行为评分各项指标千预组亦优于对照组，差异有统计 学意义 (P0.05)。 结论 家庭参与式健康管理有助于提高2型糖尿病患者的自护行为，建立良好的行为习惯，控制 代谢指标。 【关键词】 家庭参与；健康管理；糖尿病，2型；自护行为 【中图分类号】 R587.1 【文献标识码】 A doi:10.3969/j.issn.1007-9572.2013.12.015 赵伟，吴国华，王鹏，等.家庭参与式健康管理对社区2型糖尿病患者自护行为影响研究 [J]. 中国全科医学， 2013,16(12):4062-4064.[] Effects of Family Involved Health Management on Self- care of Patients with Type 2 Diabetes in Community ZHAO Wei, WU Guo-hua, WANG Peng, et al. The Nursing College of Zhengzhou University,Zhengzhou 450052,China 【Abstract】 Objective To explore the effects of family involved health management on self - care behavior of patients with type 2 diabetes mellitus(T2DM)in community. Methods Based on the health records 78 T2DM patients with stable condi- tions were enrolled from three communities selected by convenience sampling. The single -blind method was taken to randomly di- vide the subjects into intervention group and control group. The patients in the intervention group were given family involved health management education, while those in the control group were given routine education. The effects of intervention were compared between the two groups three months later. Results There were no significant differences between the two groups for all the indi- cators. After the three - month intervention,there were significant difference in parameters of fasting blood sugar〔(8.34 ±0.98)mmol/L vs.(9.50±1.04)mmol/L], 2-h postprandial blood glucose〔(8.97±0.76)mmol/L vs.(9.89 ±0.94)mmol/L],and gly