应对技能干预对糖尿病患者自我管理行为及血糖的影响

Impact of coping skill-based intervention on self-management behaviors and glycemic control in diabetes patients

目的探讨应对技能干预对2型糖尿病患者自我管理行为及血糖控制的影响。方法将100例2型糖尿病患者随机分为观察组和对照组各50例。对照组给予常规糖尿病健康教育;观察组在此基础上给予应对技能干预。两组均电话随访6个月,分别于干预前、干预后3个月和6个月评价患者的自我管理行为并监测患者的糖化血红蛋白。结果观察组干预后自我管理行为总分及各维度均分显著高于对照组(P<0.05,P<0.01);干预后3个月两组患者的糖化血红蛋白均较干预前有所下降,观察组较对照组改善更为显著(P<0.01)。结论应对技能干预能提高2型糖尿病患者的自我管理行为,有效维持血糖在较理想的范围。

Objective To explore the influence of a coping skill intervention program on self-management behaviors and glycemic control among patients with type 2 diabetes. Methods One hundred type 2 diabetes patients were randomly assigned to a control group and an observation group of 50 receiving either routine diabetic education or coping skills intervention additionally.Both groups were given telephone follow-up for 6 months.Their self-management behaviors and glycosylated hemoglobin（HbAlc） were mea-sured before and 3,6 months after the intervention. Results The total score and dimension scores of self-management behaviors in the observation group were significantly higher than those in the control group after the intervention（P〈0.05,P〈0.01）.Values of HbAlc decreased in both groups 3 months after the intervention,with more significant reduction in the observation group than in the control group（P〈0.01）. Conclusion Coping skills intervention can improve self-management behaviors of patients with type 2 diabetes and effectively achieve better glycemic control.