CAJ | 학술논문

目的：通过短信平台定期向糖尿病患者发送自我管理及健康教育内容，以增强患者的自我效能，改善其自我管理能力.方法便利选取2012年3月至2013年3月解放军第117医院内分泌科收治的2型糖尿病患者105例，按随机数字表法分为短信干预组53例和对照组52例，两组患者住院期间进行相同的健康教育，出院后对照组用常规方法进行健康教育，短信干预组由专科护士通过短信平台向患者定期发送短信，内容主要为自我管理及健康教育，比较两组患者出院后6个月的自我管理行为及自我效能.结果两组患者出院前自我管理行为及自我效能得分差异均无统计学意义(均P＞0．05)；出院后6个月，短信干预组在运动锻炼、认知症状管理、与医生沟通等方面的自我管理得分以及在症状管理及疾病共性管理等方面的自我效能得分均高于对照组，差异均有统计学意义(均P＜0．05).结论短信平台教育能提高2型糖尿病患者的自我管理能力，增强其自我管理效能.
목적：통과단신평태정기향당뇨병환자발송자아관리급건강교육내용，이증강환자적자아효능，개선기자아관리능력.방법편리선취2012년3월지2013년3월해방군제117의원내분비과수치적2형당뇨병환자105례，안수궤수자표법분위단신간예조53례화대조조52례，량조환자주원기간진행상동적건강교육，출원후대조조용상규방법진행건강교육，단신간예조유전과호사통과단신평태향환자정기발송단신，내용주요위자아관리급건강교육，비교량조환자출원후6개월적자아관리행위급자아효능.결과량조환자출원전자아관리행위급자아효능득분차이균무통계학의의(균P＞0．05)；출원후6개월，단신간예조재운동단련、인지증상관리、여의생구통등방면적자아관리득분이급재증상관리급질병공성관리등방면적자아효능득분균고우대조조，차이균유통계학의의(균P＜0．05).결론단신평태교육능제고2형당뇨병환자적자아관리능력，증강기자아관리효능.
Objective Sending self-management and health education content to patients with diabetes periodically through SMS platform,to enhance the patient’s self-efficacy and improve their self-manage-ment skills.Methods Totally 105 patients diagnosed with type 2 diabetes were selected and divided into SMS intervention group (n=5 3 )and control group (n=5 2 ).All patients had the same health education during hospitalization,control group had conventional methods of health education after discharge,while the SMS intervention group got health education from specialist nurses regularly via SMS platform.The content was the about self management and health education,patients’self-management behavior and self-efficacy during six months after discharge were compared between two groups of patients.Results There was no statistic significance of the differences of self-management behavior and self-efficacy before dis-charge of two groups of patients (all P>0.05).After 6 months of discharge,SMS group had significant ad-vantage on exercise,cognitive symptom management and communicating with doctors and other aspects of self-management performance,and symptom management and commonness of disease compared with control group,and the difference was statistical significant (all P<0.05).Conclusion SMS platform could improve the self-management skills of patients with type 2 diabetes and enhance their self-management effectiveness.