基于并发症体验提升中青年糖尿病患者自我管理能力

Self-care abilities of middle younger diabetic based on the complications simulation

目的 :探讨并发症体验对中青年糖尿病患者自我管理能力的影响。方法 :召集接受过系统的个体化门诊教育和6个月随访的32例初发中青年糖尿病患者开展并发症体验活动。比较干预前及干预后3个月患者自我管理行为评分和血糖控制情况。结果 :干预后患者饮食、运动及遵医用药3个维度的自我管理评分差异有统计学意义(P<0.05),足部护理、血糖监测2个维度的自我管理评分差异无统计学意义(P>0.05),干预前后血糖指标差异有统计学意义(P<0.05)。结论 :并发症体验可以提高初发中青年糖尿病患者的自我管理能力,对饮食、运动及遵医用药行为的改善效果较好,并改善血糖指标,可以尝试在糖尿病患者教育管理中推广应用。

Objective： To explore the effect of complications simulation on self-care abilities of young and middle-aged diabetic. Methods： Totally 32 young and middle-aged patients with incipient diabetes who had received individual clinic education and follow- up for 6 months attended complications simulation activities. The authors compared the differences in patients＇ self-care behavior score and blood sugar control before and 3 months after the intervention. Results： There were significant differences in the self-care scores of the diet, exercise and medication compliance after intervention （P〈0.05）, but there were no significant differences in the foot care and blood glucose monitoring （P〉0.05）. There was significant difference in blood glucose level before and after intervention （P〈0.05）. Conclusion： Complications simulation can improve patients＇ self-care abilities of young and middle-aged incipient diabetic, such as improving the diet, exercise, medication compliance, and then make blood glucose under better control.