赋能教育模式对社区老年2型糖尿病患者血糖控制及自我管理行为的影响

Effects of empowerment education model on glycemic control and self-management behaviors of community diabetics

目的探讨赋能教育模式对社区老年2型糖尿病患者血糖控制及自我管理行为的影响。方法选取2个社区共120例老年2型糖尿病患者,将其中一个社区的60例患者设为观察组,另一个社区60例患者设为对照组,对照组采用传统健康教育方法,观察组采用赋能教育模式,干预时间6个月。干预后采用糖尿病自我管理行为量表(Chinese version scale of the diabetes self-care activities,SDSCA)对患者进行测评,并了解患者血糖指标值情况。结果干预后两组患者各项血糖指标值及SDSCA得分比较,差异均有统计学意义(P<0.05),实验组患者血糖控制水平及自我管理行为优于对照组。结论赋能教育模式改变了老年2型糖尿病患者从被动接受健康教育,转变为从内心的激发开始逐渐的行为改变,提高了患者自我管理行为和血糖控制水平。

Objective To explore the effects of empowerment education model on glycemic control and self-management behavior of community patients with diabetes. Method A total of 120 diabetics from 2 different communities were set as the observation group and control group. The control group was treated by routine medications and health education and the observation group was intervened with empowerment education model. After intervention for 6 months, the patients′blood glucose index and the diabetes self-management behavior were assessed and compared by scale of the diabetes self-care activities （SDSCA） between the two groups. Result By the end of the study, the glycemic index and SDSCA score in the former group were both significantly decreased than those in the control group （P〈0.05）, indicating the patients in the experiment group had better glycemic control and self-management behaviors compared with those in the control group. Conclusions Empowerment education model can arouse the internal motivation of patients to change their behaviors from passive to active acceptance in the health education. Empowerment education model can enhance diabetes patients′self-management conduct and the glycemic level.