领导生命周期理论在社区2型糖尿病管理中的应用

Application of leadership life cycle theory in type 2 diabetes management in community

目的观察领导生命周期理论在社区2型糖尿病(T2DM)管理中的应用效果及其对患者负性心理情绪的影响。方法选取2017年8~12月期间上海市徐汇区枫林社区内T2DM患者共计80例作为研究对象,按照随机数表法将所有患者分为对照组和观察组,每组40例。对照组予以常规T2DM管理方式干预,观察组予以基于领导生命周期理论的T2DM管理干预,两组均干预12个月。比较两组患者干预后的血糖控制率、患者满意率,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两组患者干预前后的焦虑和抑郁状况,并进行比较。结果干预后,观察组患者的血糖控制率和患者满意率分别为70.0%、95.0%,均明显高于对照组的45.0%,77.5%,差异均有统计学意义(P<0.05);干预后,观察组患者的SAS和SDS评分分别为(41.31±4.55)分、(44.51±3.96)分,明显低于其干预前的(57.77±5.92)分和(53.87±7.100)分,差异均有统计学意义(P<0.05);对照组患者的SAS和SDS评分分别为(46.03±4.55)分、(48.60±4.82)分,明显低于其干预前的(56.83±6.10)分和(52.99±7.35)分,差异均有统计学意义(P<0.05);且观察组干预后的SAS评分、SDS评分均明显低于同时期对照组的评分,差异均有统计学意义(P<0.05)。结论基于领导生命周期理论的2型糖尿病管理可有效提高社区T2DM患者的血糖控制率及满意度,改善患者焦虑抑郁情况,值得临床推广。

Objective To observe the application effect of leadership life cycle theory in type 2 diabetes (T2DM) management in community and its impact on patients' negative psychological emotions. Methods A total of 80 patients with type 2 diabetes mellitus in Fenglin Community, Xuhui District, Shanghai, were selected from August 2017 to December 2017. All patients were divided into control group (n=40) and observation group (n=40) according to the random number table. The control group was treated with conventional type 2 diabetes management. The observation group was given type 2 diabetes management intervention based on the leadership life cycle theory. Both groups were intervened for 12 months. The blood glucose control rate and patient satisfaction rate of the two groups were compared. The anxiety and depression status of the two groups before and after intervention were evaluated by the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS). Results After intervention, the blood glucose control rate (70.00%) and patient satisfaction rate (95.00%) of the observation group were significantly higher than those (45.00%, 77.50%) of the control group (P<0.05). After intervention, the SAS score and he SAS score were 41.31±4.55 and 44.51± 3.96 in the observation group, significantly lower than 57.77±5.92 and 53.87±7.10 before the intervention (P<0.05);the SAS scores and the SAS scores were 46.03±4.55 and 48.60±4.82 in the control group, significantly lower than 56.83± 6.10 and 52.99±7.35 before the intervention (P<0.05);the SAS scores and SDS scores of the observation group were lower than those of the control group after intervention (P<0.05). Conclusion The management of type 2 diabetes based on the leadership life cycle theory can effectively improve the blood glucose control rate and satisfaction of patients with type 2 diabetes in the community, and improve the anxiety and depression of patients, which is worthy of clinical promotion.