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目的探讨糖尿病自我管理方法在社区老年2型糖尿病患者中的应用效果。方法在我市选择264例社区2型糖尿病患者,随机分为干预组和对照组。干预组进行自我管理;对照组则采用常规的管理方法。结果干预前后干预组的空腹血糖、餐后2h血糖及糖化血红蛋白的均方差分别为(1.58+1.29)mmol/L、(2.52±2.64)mmol/L、(1.75±1.99)%,自我效能6个维度及总得分的均方差分别为(5.3±4.3)、(4.6±3.8)、(1.9±1.1)、(3.4±2.1)、(11.3±3.2)、(4.8±1.2)、(31.3±1.7),对照组的三种血糖监测指标均方差分别为(0.79±1.09)mmol/L、(1.13±1.90)mmol/L、(0.53±0.68)%,自我效能6个维度及总得分的均方差分别为(0.6±1.2)、(0.2±0.2)、(0.3±0.2)、(1.3±1.0)、(4.3±2.9)、(1.5±1.3)、(8.2±1.1)。干预前后两组备血糖监测指标及自我效能的改变量间的差异具有统计学意义,且干预组改善较为明显。结论糖尿病的自我管理方法对提高糖尿病患者自我效能有明显效果,有助于改善血糖的控制。
Objective To explore the application of diabetes self-management in elderly patients with type 2 diabetes mellitus. Methods Select 264 cases of community type 2 diabetes in our city, were randomly divided into intervention group and control group. Intervention group self-management; control group is the use of conventional management methods. Results The fasting blood glucose, postprandial 2h blood glucose and glycosylated hemoglobin mean square deviation were (1.58 ± 1.29) mmol / L, (2.52 ± 2.64) mmol / L, (1.75 ± 1.99)% and 6 (5.3 ± 4.3), (4.6 ± 3.8), (1.9 ± 1.1), (3.4 ± 2.1), (11.3 ± 3.2), (4.8 ± 1.2), (31.3 ± 1.7) , And the mean square deviation of the three blood glucose monitoring indexes in the control group were (0.79 ± 1.09) mmol / L, (1.13 ± 1.90) mmol / L, (0.53 ± 0.68)%, (0.6 ± 1.2), (0.2 ± 0.2), (0.3 ± 0.2), (1.3 ± 1.0), (4.3 ± 2.9), (1.5 ± 1.3), (8.2 ± 1.1). Before and after intervention, there were significant differences in monitoring indicators of blood glucose monitoring and self-efficacy, and the improvement in intervention group was more obvious. Conclusion The self-management of diabetes has obvious effect on improving self-efficacy of diabetic patients, and helps to improve the control of blood glucose.