糖尿病自我管理培训指导网络对2型糖尿病患者自我效能的影响研究  

Effect of Education Network for Diabetes Self-management on Self-efficacy in Patients with Type 2 Diabetes Mellitus

作　　者：谢波[1,2] 鞠昌萍[1,2] 孙子林[1,2] 韩晶[1,2] 刘莉莉[1,2] 

机构地区：[1]东南大学医学院糖尿病研究所 [2]东南大学附属中大医院内分泌科,江苏省南京市210009

出　　处：《中国全科医学》2012年第31期3610-3612,3616,共4页Chinese General Practice

基　　金：江苏省卫生厅重大科研项目(K200608);江苏省科技厅自然科学基金重点项目(BK2010087)

摘　　要：目的评价糖尿病自我管理培训指导网络对2型糖尿病患者自我效能的影响。方法将196例2型糖尿病患者根据入院顺序分为试验组124例和对照组72例。试验组采用自我管理培训指导网络模式,即给予初期为期5个半天的糖尿病集中培训加后续的强化随访(包括活动、电话、短信、网络等方式);对照组采用常规的糖尿病教育,即给予分次糖尿病教育指导和后续的定期随访。于入组时、入组后6个月、12个月采用糖尿病自我效能量表评价糖尿病患者的自我效能水平,使用编制的调查问卷记录患者的一般情况、糖化血红蛋白等资料,进行不同教育模式对自我效能的影响分析。结果试验组患者入组时、随访6个月、随访12个月的自我效能得分分别为(7.5±1.3)分、(8.3±1.1)分、(8.2±1.2)分,对照组患者分别为(7.2±1.1)分、(7.9±0.9)分、(7.5±0.8)分,入组时两组比较差异无统计学意义(P>0.05),随访6个月、12个月两组比较差异均有统计学意义(P<0.05)。试验组患者入组时、随访6个月、随访12个月的糖化血红蛋白水平分别为(8.7±2.1)%、(6.7±1.0)%、(7.1±1.2)%,对照组患者分别为(9.2±2.2)%、(7.5±1.4)%、(7.6±1.1)%,入组时两组比较差异无统计学意义(P>0.05),随访6个月、12个月两组比较差异均有统计学意义(P<0.05)。自我效能得分与糖化血红蛋白水平呈负相关(r=-0.14,P<0.05)。结论糖尿病自我管理培训指导网络模式在改善2型糖尿病患者的自我效能方面更有效。Objective To evaluate the effect of education network for diabetes self-management on the self-efficacy in patients with type 2 diabetes mellitus.Methods Totally 196 patients with type 2 diabetes mellitus were assigned to trial group（n=124） and control group（n=72） according their order of admission.The patients in the trial group were treated with mode of education network for diabetes self-management：diabetes self-management training for 5 sequential half-a-days in a diabetes healthy school and subsequent consolidating follow-up（activity,telephones,short messages,website,etc）.While the patients in the control group were treated with conventional education on diabetes：fractionated diabetes education guidance and subsequent regular follow-up.A Chinese version of self-efficacy scale was used to evaluate the level of diabetes self-efficacy respectively 6 and 12 months later;and a self-designed inventory was used to record the patients′ general conditions,and glycosylated hemoglobin（HbA1c）,so as to analyze the self-efficiency under the different modes.Results The self-efficiency scores of the patients in the trial group were（7.5±1.3） at the beginning,（8.3±1.1） sex months later,and（8.2±1.2） 12 months later,respectively.While those of the patients in the control group were（7.2±1.1）,（7.9±0.9）,and（7.5±0.8）,respectively,with no significant difference at the beginning between the two groups（P0.05）,but with significant differences both 6 and 12 months later（P0.05）.The HbA1c levels of the patients in the trial group were（8.7±2.1）% at the beginning,（6.7±1.0）% sex months later,and（7.1±1.2）% 12 months later,respectively.While those of the patients in the control group were（9.2±2.2）%,（7.5±1.4）%,and（7.6±1.1）%,respectively,with no significant difference at the beginning between the two groups（P0.05）,but with significant differences both 6 and 12 months later（P0.05）.And the self-efficiency score and the HbA1c level were negatively corr

关 键 词：糖尿病 2型 自我管理 自我效能 影响 

分 类 号：R587.1[医药卫生—内分泌]