自我管理教育对社区老年糖尿病患者治疗效果分析

Effect of self management education on the treatment of elderly patients with diabetes mellitus

目的:探讨自我管理教育对社区老年糖尿病患者的治疗效果。方法:选取江苏省南通市虹西社区糖尿病患者160例作为研究对象,采用随机数字表法将其随机分为对照组和实验组,每组患者80例。对照组患者采取常规管理,实验组患者采取自我管理教育模式。对比分析两组患者的疾病认知度、自我管理效能、自我管理行为(健康饮食、体育运动、服药依从性及足部护理)及健康状况(BMI、空腹血糖、糖化血红蛋白、舒张压、收缩压及TC)等方面的改变。结果:实验组患者疾病认知度、自我管理效能方面明显优于对照组,差异具有统计学意义(P<0.05);实验组患者在健康饮食、体育运动、服药依从性、足部护理等自我管理行为方面明显优于对照组,差异具有统计学意义(P<0.05)。结论:自我管理教育对社区老年糖尿病患者的管理具有重要意义,可提高患者的生活质量。

Objective： To explore the effect of self-management education on the treatment of elderly patients with diabetes. Methods： 160 patients with diabetes in Rainbow West Community,Nantong City,Jiangsu province were selected as the research object,and they were randomly divided into control group and experimental group,with 80 cases in each group. The control group was treated with routine management,and the experimental group was treated with self management education model. The changes of two groups of patients were compared with groups of patients,such as disease awareness,self-management self-efficacy,self-management behavior（ Healthy diet,Physical exercise,Medication compliance,Foot care）,health status（ BMI,Fasting blood glucose,Glycosylated hemoglobin,Diastolic blood pressure,Systolic blood pressure,Total cholesterol）and so on. Results： Disease awareness and self management effectiveness on the patients of experimental group were significantly better than those in control group,and the differences was statistically significant,P〈0. 05.Health diet,physical exercise,medication compliance,foot care and other self management behavior on the patients of experimental group were significantly better than those in control group,P〈0. 05. Conclusion： Self management education is of great significance to the management of elderly patients with diabetes,and can improve the quality of life of patients.