基于赋权教育的自我管理干预对农村糖尿病患者的影响  

Effect of self-management program based on empowerment education model on diabetes patients living in rural areas

作　　者：刘倩[1] 张英英[2] 胡迪[3] 王永娥[4] 徐美菊[4] Liu Qian;Zhang Yingying;Hu Di;Wang Yong′e;Xu Meiju(1st Unit of Spinal and Bone Oncology Department,Zhongnan Hospital of Wuhan University,Wuhan 430062,China)

机构地区：[1]武汉大学中南医院脊柱与骨肿瘤一病区,湖北武汉430062 [2]武汉大学中南医院创伤与显微骨科,湖北武汉430062 [3]武汉大学中南医院I期临床研究室,湖北武汉430062 [4]武汉大学中南医院内分泌科,湖北武汉430062

出　　处：《护理学杂志》2024年第8期25-28,共4页Journal of Nursing Science

基　　金：武汉大学中南医院临床护理研究项目(LCHLYJ202224);湖北省卫生健康委员会联合基金科技创新平台支撑项目(WJ2019H079)。

摘　　要：目的探讨实施基于赋权教育的自我管理干预对农村糖尿病患者自我管理能力的效果。方法选取内分泌科住院的78例农村糖尿病患者为研究对象,按照入院时间顺序分成对照组(2022年6-10月)和观察组(2022年11月至2023年3月)各39例。观察组接受基于赋权教育模式的自我管理方案;对照组接受常规的糖尿病宣教方案。比较两组干预后血糖控制水平、自我管理能力和疾病态度。结果观察组34例、对照组35例完成研究。两组出院当日,出院后3、6个月患者自我管理能力、糖尿病态度得分显著高于对照组,空腹血糖值显著低于对照组(均P<0.05)。结论实施基于赋权教育的自我管理方案可改善农村糖尿病患者对疾病的态度和血糖控制水平,提高自我管理能力。Objective To explore the effect of self-management program based on empowerment education model on diabetes patients living in rural areas.Methods Totally,78 rural diabetes patients living in rural areas of Hubei province were selected and divided into 2 groups in chronological order of admission:the control group(June to October 2022)and the intervention group(November 2022 to March 2023),39 cases each.The intervention group was subjected to a self-management program developed based on the empowerment education model,while the control group to the conventional diabetes education program.Fasting blood glucose levels,self-management ability and attitude towards disease were compared between the two groups before and after intervention.Results Thirty-four cases in the intervention group and 35 cases in the control group completed the study.The intervention group had significantly higher scores of self-management ability and diabetes attitude,and lower fasting blood glucose level on the day of discharge,and 3 and 6 months after discharge(all P<0.05).Conclusion The self-management program developed based on the empowerment education model can significantly improve attitude towards diabetes and blood glucose control among diabetes patients living in rural areas,and enhance their self-management ability.

关 键 词：糖尿病 农村 血糖 自我管理 疾病态度 赋权 赋权教育 健康教育 

分 类 号：R473.5[医药卫生—护理学]