2型糖尿病患者自我管理模式干预效果评价

Evaluation of self-management and intervention effect on Type 2 diabetes patients

目的:评价2型糖尿病患者自我管理模式干预效果。方法:将292例社区2型糖尿病患者随机分为自我管理模式组(干预组)和传统健康教育模式组(对照组),干预1 a后,比较干预组(147例)组和对照组(145例)血糖控制率、生命质量各维度得分等方面的变化。结果:干预组血糖控制率从19.05%升高为53.06%,对照组从20.69%升高为28.97%,干预组优于对照组(χ2=17.508,P<0.001);干预组健康调查量表(SF-36)各维度得分均高于对照组(P<0.05)。结论:自我管理模式社区干预在血糖控制和提高生命质量方面效果显著。

Objective： To evaluate the intervention effects of the self-management model on Type 2 diabetes patients. Methods： 292 patients with Type 2 diabetes were randomized into intervention group and control group.One year later,compare the differences between the two groups in aspects such as blood glucose control and quality of life. Results： After intervention,the treated group was obviously superior to the control group in the rate of blood glucose control,which in the rate intervention group rose from 19.05% to 53.06% while in control group it rose from 20.69% to 28.97%（P0.05）.The grades of the intervention group was higher than that of control group in all dimensions of SF-36（P0.05）. Conclusion： The self-management model could significantly improve the level of blood glucose control and the quality of life.