社区糖尿病健康管理的效果及对自我效能和应对方式的影响  

The effect of community diabetes health management and its influence on self-efficacy and coping style

作　　者：高梅英 吴茹英 诸小红 曹筱筱 陈海英 GAO Meiying;WU Ruying;ZHU Xiaohong;CAO Xiaoxiao;CHEN Haiying(General Practice Department of Fengpu Community Health Service Center of Fengxian District,Shanghai 201401,China;Nursing Department of Fengpu Community Health Service Center of Fengxian District,Shanghai 201401,China)

机构地区：[1]上海市奉贤区奉浦街道社区卫生服务中心全科,上海201401 [2]上海市奉贤区奉浦街道社区卫生服务中心护理部,上海201401

出　　处：《上海医药》2021年第14期43-47,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市中西医结合学会社区医学与健康管理研究项目(2016SH52)。

摘　　要：目的:研究社区糖尿病健康管理的效果及对促进患者自我效能和应对方式的影响。方法:选取2017年7月至2019年12月在上海奉浦街道社区卫生服务中心就诊的277例糖尿病患者为观察组,按照1∶1比例匹配选取277例糖尿病患者作对照组。观察组有男性199例,女性78例,平均年龄(65.50±2.00)岁,平均病程(6.40±1.00)年;对照组有男性198例,女性79例,平均年龄(64.04±2.15)岁,平均病程(6.30±1.10)年。对照组患者接受传统健康管理。观察组患者接受社区健康管理模式。比较两组管理效果、满意度、自我效能和应对方式。结果:管理后观察组患者管理的有效率和满意度均优于对照组(99.64%比89.53%,P=0.043;100%比90.07%,P=0.048)。管理后两组患者自我效能评分和应对中的“面对”比例均升高,“回避”和“屈服”的比例下降,差异均有统计学意义(P<0.05)。结论:社区糖尿病健康管理模式显著提高了社区糖尿病管理的效果,促进了患者自我效能及应对方式的转变,对协助社区糖尿病患者正确认识糖尿病、养成良好的自护习惯、减轻糖尿病的危害性具有积极的促进效应。Objective:To study the correlation between community diabetes health management mode and the improvement of management effect,self-efficacy and coping style.Methods:Two hundred and seventy-seven patients with diabetes treated in Fengpu Community Health Service Center,Shanghai from July 2017 to December 2019 were selected as the observation group,and then 277 diabetic patients were selected as the control group according to the 1:1 ratio matching.There were 199 males and 78 females in the observation group,with an average age of(65.50±2.00)years,and the average course of disease was(6.402±1.00)years;there were 198 males and 79 females in the control group,with an average age of(64.04±2.15)years,and the average course of disease was(6.30±1.10)years.The control group was adopted traditional health management method,and the observation group was adopted the community health management mode.The management effect,satisfaction,self-efficacy and coping style before and after management were compared between the two groups.Results:After management,the effectiveness and satisfaction of patients in the observation group were better than those in the control group(99.64%vs.89.53%,P=0.043;100%vs.90.07%,P=0.048).After the management,the self-efficacy scores and the proportion of“facing”in response increased,the proportions of“avoidance”and“success”decreased,and the difference was statistically significant(P<0.05);however,the self-efficacy score and the proportion of“facing”in the observation group were higher than those in the control group,the proportion of“avoiding”and“yielding”in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The health management mode of community diabetes significantly improves the effect of community diabetes management,promotes the change of patients’self-efficacy and coping style,and has a positive effect on helping community patients with diabetes to correctly understand diabetes,develop g

关 键 词：糖尿病 社区 健康管理 自我效能 应对方式 

分 类 号：R587.1[医药卫生—内分泌]