2型糖尿病患者自我管理项目实施效果评价

Effect evaluation for community-based self-management program among patients with Type II diabetes

目的评估池州市社区2型糖尿病患者自我管理项目实施效果。方法采用社区为基础的自身前后对照试验研究设计,对6组121名自愿参加该项目的 2型糖尿病患者进行为期1年的干预。于干预前后进行问卷调查和生化指标测定,采用χ2检验、秩和检验和方差分析,比较参加者在干预前后自我效能、知识了解、健康行为形成、自我管理、血糖控制等方面的变化。结果干预后,糖尿病患者知信行18项指标有显著提升(P均<0.01),血糖控制良好标准率提高了13.2个百分点,平均血糖水平下降0.4 mmol/L。结论社区糖尿病自我管理项目干预12个月后有助于改变参加者危险行为,提高患者自我管理效能,增进医患交流,并改善患者健康状况。

Objective To evaluate the effect of a 12-month community-based self-management program among type II diabetes patients in a Chizhou community. Methods This is a community-based study,and results of patients were compared between the baseline and after-intervention. 121 volunteer patients with Type II Diabetes Mellitus were divided into 6 groups, and they all participated in a 12-month Diabetes Self-Management Intervention Program. Questionnaires and biochemical tests were conducted at both baseline and after-intervention. Analysis of variance, nonparametric test and Chi-square test were used to compare 12-month changes on self-efficacy, health knowledge, health behavior formation and fasting blood glucose control. Results After the 12-month intervention, Knowledge Attitude Practice(KAP) 18 indexes were significantly higher in diabetes patients(P<0.01); the proportion of efficient blood sugar control patients increased by 13.2%, and average blood glucose level decreased by0.4mmol/L. Conclusions The 12-month community-based diabetes self management program could help patients to change the their risk behaviors, improve their self-management efficacy, enhance communication with doctors, and to improve the health status.