自我效能理论在代谢综合征患者血糖控制中的应用  

Self-efficacy theory applied in glycemic control of metabolic syndrome patients

作　　者：周爱民[1] 戴霞[1] 陈财英[1] 罗艳霞[1] 游越西[1] 陈思妍[1] 范海萍[1] 梁杏欢[1] 

机构地区：[1]广西医科大学第一附属医院内分泌科,南宁530021

出　　处：《中国临床新医学》2014年第2期164-166,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西科技厅自然基金项目(编号:2010GXNSFA013163;2010GXNSFA013182)

摘　　要：目的探讨自我效能理论对代谢综合征患者血糖控制的影响。方法选取100例代谢综合征高血糖患者按照随机、开放、对照、平行方法分为对照组与实验组各50例,对照组给予内分泌常规治疗,实验组在常规治疗的基础上进行增强自我效能健康宣教,比较两种方法对患者血糖控制的影响。结果 3个月后实验组的自我效能评分、糖化血红蛋白及空腹血糖的控制优于对照组(P<0.01或<0.05);两组患者餐后2 h血糖控制差异无统计学意义(P>0.05)。结论在代谢综合征高血糖患者治疗过程中应用自我效能理论,可以有效改善血糖控制。Objective To investigate the effects of self-efficacy theory on glycemic control in patients withmetabolic syndrome.Methods One hundred metabolic syndrome patients with hyperglycemia were divided into thecontrol group and the experimental group by randomly , open, controlled, parallel method,the two groups receivedregular endocrinology medicine treatment .In addition,the experimental group received health education which basedon self-efficacy theory.The effects of the two methods on glycemic control were compared .Results The self-efficacyscores,glycated hemoglobin and fasting blood glucose control in the experimental group were better than the controlgroup after 3 months（P ＆lt;0.01 or ＆lt;0.05）;The 2-hour postprandial blood glucose control was not significantly differ -ent between two groups（P ＆gt;0.05）.Conclusion Self-efficacy theory applied in metabolic syndrome patients can ef -fectively improve glycemic control.

关 键 词：代谢综合征 自我效能 血糖控制 

分 类 号：R589[医药卫生—内分泌]