中国糖尿病杂志
中國糖尿病雜誌
중국당뇨병잡지
CHINESE JOURNAL OF DIABETES
2015年
5期
400-404
,共5页
姜莹莹%毛凡%张惺惺%董建群%董文兰
薑瑩瑩%毛凡%張惺惺%董建群%董文蘭
강형형%모범%장성성%동건군%동문란
糖尿病%患者自我管理%社区%自我效能%干预%评价
糖尿病%患者自我管理%社區%自我效能%榦預%評價
당뇨병%환자자아관리%사구%자아효능%간예%평개
Diabetes mellitus%Patient self-management%Community%Self-efficacy%Intervention%Evaluation
目的:评价社区糖尿病患者自我管理活动的实施情况和干预效果。方法采用患者自我管理小组活动的干预方式对社区糖尿病患者进行管理。小组活动开始前和结束时分别采用问卷调查的方法收集研究对象的一般资料、患病情况、自我管理行为及自我效能信息,收集患者参加小组活动的情况和对活动的评价信息。结果共调查糖尿病患者1397例。通过开展自我管理小组活动,掌握了血糖自测方法者占51.7%(722/1397)、掌握了足部检查方法者占57.2%(799/1397)、主动与医生交流和沟通病情者占90.3%(1261/1397),与活动前比较,差异均有统计学意义(P<0.05)。活动后,糖尿病患者自我效能总分较活动前升高[(79.21±13.21)vs(69.27±16.29)分,t=18.15,P<0.05]。年龄、居住地和文化程度是影响糖尿病患者自我效能总分干预效果的因素(F年龄组=4.68,F居住地=33.54,F文化=9.13,P<0.05)。结论社区糖尿病患者自我管理可提升患者自我效能、培养患者自我管理意识和行为,社区患者对这种行为干预模式的认可程度较好。
目的:評價社區糖尿病患者自我管理活動的實施情況和榦預效果。方法採用患者自我管理小組活動的榦預方式對社區糖尿病患者進行管理。小組活動開始前和結束時分彆採用問捲調查的方法收集研究對象的一般資料、患病情況、自我管理行為及自我效能信息,收集患者參加小組活動的情況和對活動的評價信息。結果共調查糖尿病患者1397例。通過開展自我管理小組活動,掌握瞭血糖自測方法者佔51.7%(722/1397)、掌握瞭足部檢查方法者佔57.2%(799/1397)、主動與醫生交流和溝通病情者佔90.3%(1261/1397),與活動前比較,差異均有統計學意義(P<0.05)。活動後,糖尿病患者自我效能總分較活動前升高[(79.21±13.21)vs(69.27±16.29)分,t=18.15,P<0.05]。年齡、居住地和文化程度是影響糖尿病患者自我效能總分榦預效果的因素(F年齡組=4.68,F居住地=33.54,F文化=9.13,P<0.05)。結論社區糖尿病患者自我管理可提升患者自我效能、培養患者自我管理意識和行為,社區患者對這種行為榦預模式的認可程度較好。
목적:평개사구당뇨병환자자아관리활동적실시정황화간예효과。방법채용환자자아관리소조활동적간예방식대사구당뇨병환자진행관리。소조활동개시전화결속시분별채용문권조사적방법수집연구대상적일반자료、환병정황、자아관리행위급자아효능신식,수집환자삼가소조활동적정황화대활동적평개신식。결과공조사당뇨병환자1397례。통과개전자아관리소조활동,장악료혈당자측방법자점51.7%(722/1397)、장악료족부검사방법자점57.2%(799/1397)、주동여의생교류화구통병정자점90.3%(1261/1397),여활동전비교,차이균유통계학의의(P<0.05)。활동후,당뇨병환자자아효능총분교활동전승고[(79.21±13.21)vs(69.27±16.29)분,t=18.15,P<0.05]。년령、거주지화문화정도시영향당뇨병환자자아효능총분간예효과적인소(F년령조=4.68,F거주지=33.54,F문화=9.13,P<0.05)。결론사구당뇨병환자자아관리가제승환자자아효능、배양환자자아관리의식화행위,사구환자대저충행위간예모식적인가정도교호。
Objective To evaluate the process and efficacy of community based diabetic patients ’ self‐management group intervention in six provinces in China.Methods Diabetic patients ’ self management group interventions were provided in communities. Questionnaire survey was used before and after the intervention. Data including patients ’ general information ,disease history ,self‐management behavior ,self‐efficacy ,and patients’opinion on group intervention were collected. Results A total of 1397 patients were enrolled. After the intervention ,51.7% (722/1397) patients learned self monitoring skills of blood glucose ,57.2% (799/1397 ) patients learned foot check skills ,and 90.3% (1261/1397 ) patients were willingly to discuss their diseases with physician. All of the above were significantly improved after group intervention ( P< 0.05 ). Patients’ overall self‐efficacy improved from (69.27 ± 16.29)(hundred‐mark system ) pre‐intervention to (79.21 ± 13.21 ) post intervention (t= 18.15 ,P<0.05). Age ,residence ,and education degree were factors influencing the score of self‐efficacy evaluation (Fage = 4.68 ,Fresidence = 33.54 ,Feducation = 9.13 ,P< 0.05 ). Conclusion Community based diabetic patients’ self‐management group intervention could increase patient ’ s self‐efficacy ,awareness of self management and behavior. It is well accepted by diabetic patients in community.