互动干预模式在社区糖尿病患者健康管理中的应用

Application of interactive intervention model in the health management of patients with diabetes in community

目的 :评价互动干预模式在社区糖尿病患者健康管理中应用的效果。方法 :采用目的抽样法,选取来自2个社区卫生服务中心的2型糖尿病患者82例为研究对象,按所属社区分为实验组和对照组(各41例)。对照组应用常规健康管理模式进行管理,实验组进行互动干预模式的健康管理。分别于干预前、干预后6个月调查两组患者自我管理行为水平并检测糖化血红蛋白(Hb A1c)水平。结果 :干预后除遵医嘱服药维度外,实验组患者的自我管理行为水平各维度得分均高于对照组,Hb A1c水平低于对照组,差异具有统计学意义(P<0.05)。结论 :应用互动干预模式进行社区糖尿病健康管理有助于提高患者的自我管理能力,改善血糖控制水平,是一种行之有效的管理方法。

Objective： To explore the effect of interaction model on management of Type 2 diabetes mellitus （T2DM） patients in community. Methods： A total of 82 patients with T2DM from two different communities were divided into the experimental group and the control group. The control group patients got traditional management, while patients in experimental group accepted interactive intervention. Then patients＇ self-management behavior and blood glucose control status （HbA1c level） of the two groups were evaluated before and 6 months after the intervention. Results： After the intervention, the self-management behavior scores of the two groups improved significantly, and the score in experimental group was higher than that of the control group, except for medication compliance dimension. And HbA1c level of the experimental group was lower than that of the control group （P〈0.05）. Conclusion： The interactive intervention model could improve the self-management behavior, and then effectively control the blood-glucose of patients with type 2 diabetes in community.