健康管理小组模式对糖尿病患者自我管理行为与效能改善的效果分析  

Effect analysis of health management group model on self-management behavior and efficacy improvent of diabetic patients

作　　者：曹敏 谭颖[1] 陈美玲[1] 张弘玥 郑澎 冯慧瑶 张玥 董晓梅[1] 吴雪霁[2] 潘冰莹[2] 陈雄飞[2] CAO Min;TAN Ying;CHEN Mei-ling;ZHANG Hong-yue;ZHENG Peng;FENG Hui-yao;ZHANG Yue;DONG Xiao-mei;WU Xue-ji;PAN Bing-ying;CHEN Xiong-fei(不详;School of Basic Medicine and Public Health,Jinan University,Guangzhou,Guangdong 510632,China)

机构地区：[1]暨南大学基础医学与公共卫生学院,广东广州510632 [2]广州市疾病预防控制中心

出　　处：《中国公共卫生管理》2022年第3期329-332,336,共5页Chinese Journal of Public Health Management

基　　金：国家重点研发计划“主动健康与老龄化科技应对”专项(2020YFC2002900)。

摘　　要：目的探讨健康管理小组模式对广州市社区糖尿病患者自我管理行为与效能改善的效果,帮助糖尿病患者实现良好的自我管理。方法将广州市各社区招募的2型糖尿病患者随机分为实验组和对照组,实验组进行6周的健康管理,对照组进行常规管理。结果与对照组患者相比,在平时用餐时,实验组患者遵循糖尿病饮食规则、按热量进行食物交换、按剂量服药或注射胰岛素、按时测量血糖、按要求穿鞋袜、进行足部自我检查和护理、修剪指甲、足部有问题及时发现并处理的自我管理效能增加,按糖尿病饮食要求合理安排饮食的天数和平均天数的自我管理行为有所改善,差异有统计学意义(P<0.05)。结论健康管理小组模式可以改善糖尿病患者的自我管理行为,提升糖尿病患者自我管理的信心,对糖尿病患者的自我管理具有积极意义。Objective To explore the intervention effect of health management group mode on the self-management behavior and efficacy improvement of diabetic patients in Guangzhou communities,and to help diabetic patients to achieve good self-management.Methods Patients with type 2 diabetes mellitus in Guangzhou communityies were recruited and randomly divided into experimental group and control group.Health management for 6 weeks was done for the experimental group,while the control group followed the routine management.Results In usual dinning time,the self-management efficiency increased in following the diabetic diet rules,conducting food exchange according to calories,taking medicine according to dose or injecting insulin,measuring blood glucose on time,wearing shoes and socks as required,carrying out foot self-examination and nursing,trimming nails,and finding and dealing with foot problems in time.Self-management behavior in terms of the number of days of rational dietary arrangement according to diabetic dietary requirements and the average number of days of rational dietary arrangement was improved according to diabetic dietary requirements,and the difference was statistically significant(P<0.05).Conclusion The model of health management group can improve the self-management behavior of diabetic patients and enhance their confidence in self-management,which has positive significance for the self management of diabetes.

关 键 词：糖尿病 自我管理 行为 效能 

分 类 号：R473.5[医药卫生—护理学]