南京市糖尿病患者自我管理小组活动效果评价  

Effectiveness evaluation on self-management program among patients with diabetic in Nanjing community

作　　者：周海茸[1] 王琛琛[1] 洪忻[1] ZHOU Hairong;WANG Chenchen;HONG Xin(Nanjing Municipal Center for Disease Control and Prevention,Department of chronic and Non-communicable Disease Control and Prevention,Nanjing 210003,China)

机构地区：[1]南京市疾病预防控制中心,慢性非传染性疾病防制科室,江苏南京210003

出　　处：《现代医学》2020年第6期711-715,共5页Modern Medical Journal

基　　金：南京市医学科技发展项目YKK14165(2014)。

摘　　要：目的:探讨南京市糖尿病患者自我管理小组活动的干预效果,为在社区推广及应用自我管理小组活动提供参考依据。方法:从已诊断的糖尿病患者中招募自愿参加自我管理小组活动的研究对象。分别在活动前、活动后6个月、活动后1年进行现场问卷调查,收集糖尿病患者自我管理行为、生命质量、健康状况的变化情况,评价小组活动实施效果。结果:共招募自愿参加自我管理的研究对象339例,其中323例完成3次调查。与活动前相比,活动后6个月、活动后1年患者每周伸展及力量锻炼时间、耐力锻炼时间、与医生交流评分、症状管理、疾病共性管理、生理总评分、心理总评分、血糖控制率均有所增加;疲劳、疼痛、健康担忧、社会活动/角色受限、空腹血糖水平均有所降低,差异均有统计学意义(P<0.05)。结论:南京市糖尿病患者自我管理取良好效果,可以在社区推广,并可以纳入社区卫生服务的常规项目。Objective:To evaluate the effectiveness for self-management program in Nanjing community.Methods:Multistage stratified random sampling was used to randomly select patients with diabetic from the standardized management of basic public health services among 11 districts in Nanjing.Demographic data and data on self-management behavior,self-efficacy,health status,health service utilization,quality of life,physical measurements and laboratory examinations were collected at three measurement moments(baseline,after 6 months,and after 12 months).Results:A total of 339 participants were recruited and agreed to enter self-management program.323 participants completed three questionnaire survey,physical measurements and laboratory examinations.Compared to baseline,stretching or strengthening exercise(minutes/week),aerobic exercise(minutes/week),communication with medical doctor,self-efficacy to managing symptoms,self-efficacy to managing disease in general,the scores of quality of life in physical component summary and mental component summary,glucose control level were all higher after 6 months and after 12 months interventions,fatigue,pain,health distress and social/role activities limitation,fasting blood-glucose were decreased(all P<0.05).Conclusion:Overall,the Nanjing self-management program was successful in increasing self-management behaviors,maintaining and improving health status,and decreasing laboratory measurements.Self-management program are widely accepted and are being disseminated in Nanjing.

关 键 词：社区 糖尿病 自我管理 效果评价 

分 类 号：R587.1[医药卫生—内分泌]