自我管理模式在糖尿病患者管理中的应用效果观察

Application Effect Observation of Self-Management Mode in Management of Diabetic Patients

目的:探讨自我管理模式在糖尿病患者管理中的应用效果。方法:选择2020年1月-2022年9月无锡市第二人民医院接受治疗的60例糖尿病患者为研究对象,根据随机数字表法分为对照组和观察组,各30例。对照组进行常规管理,观察组实行自我管理模式。比较两组干预前后的自我管理能力评分以及血糖相关指标。结果:干预前,两组饮食、锻炼、血糖监测、足部护理评分比较,差异无统计学意义(P>0.05);干预后,两组饮食、锻炼、血糖监测、足部护理评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预前,两组糖化血红蛋白、空腹血糖、餐后2 h血糖水平比较,差异无统计学意义(P>0.05);干预后,两组糖化血红蛋白、空腹血糖、餐后2 h血糖水平低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:自我管理模式的实行,有利于糖尿病患者的自我管理能力的提升,可有效改善患者的血糖相关指标。

Objective:To explore the application effect of self-management mode in the management of diabetic patients.Methods:A total of 60 diabetic patients who were treated in Wuxi Second People’s Hospital from January 2020 to September 2022 were selected as the study subjects,and the patients were divided into control group and observation group according to random number table method,with 30 cases in each group.The control group implemented routine management,while the observation group implemented self-management mode.The self-management ability score and blood glucose-related indicators were compared between the two groups before and after the intervention.Results:Before the intervention,there were no significant differences in diet,exercise,blood glucose monitoring,and foot care scores between the two groups(P>0.05).After the intervention,the scores of diet,exercise,blood glucose monitoring and foot care in two groups were higher than those before the intervention,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Before the intervention,there were no significant differences in glycosylated hemoglobin,fasting blood glucose and 2 h postprandial blood glucose levels between the two groups(P>0.05).After the intervention,the glycosylated hemoglobin,fasting blood glucose and 2 h postprandial blood glucose levels in the two groups were lower than those before the intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of selfmanagement mode is conducive to the improvement of self-management ability of diabetic patients,and can effectively improve the blood glucose-related indicators of patients.