线上线下同伴导师协同式健康管理方案在农村糖尿病不规范治疗患者中的应用研究  

Study on the Application of O2O Peer Tutor Collaborative Health Management Program in Rural Diabetes Patients with Non-standard Treatment

作　　者：贾红红 杜秋慧 张子琛 周郁秋 JIA Honghong;DU Qiuhui;ZHANG Zichen;ZHOU Yuqiu(School of Nursing,Harbin Medical University Daqing Branch,Daqing 163319,China)

机构地区：[1]哈尔滨医科大学大庆校区护理学院,黑龙江省大庆市163319

出　　处：《中国全科医学》2025年第4期476-481,共6页Chinese General Practice

基　　金：教育部人文社会科学规划基金项目(22YJAZH035)。

摘　　要：背景农村糖尿病患者不规范治疗现象尤为严重,预防和控制糖尿病并发症,降低其致残率和死亡率是当前我国农村糖尿病健康管理的首要问题。目的探讨线上线下(O2O)同伴导师协同式健康管理对农村糖尿病不规范治疗患者的风险感知及糖尿病管理自我效能的影响。方法采用便利抽样法,选取2023年4—11月在大庆市让胡路区喇嘛甸镇的农村糖尿病不规范治疗患者90例作为研究对象,采用随机数字表法分为试验组45例和对照组45例。试验组采用O2O同伴导师协同式健康管理方案,干预时间为6个月,对照组采用常规慢性病健康管理。比较两组患者在风险感知及糖尿病管理自我效能方面的差异。结果试验组42例,对照组41例完成该研究。干预后试验组糖尿病风险感知量表得分为(43.86±7.00)分,高于对照组的(32.56±4.24)分(t=8.864,P<0.001);干预后试验组糖尿病管理自我效能量表得分为(100.45±16.74)分,高于对照组的(75.54±13.82)分(t=7.384,P<0.001)。结论O2O同伴导师协同式健康管理方案能有效提高农村糖尿病不规范治疗患者的风险感知及糖尿病管理自我效能,提高其健康管理水平。Background The phenomenon of non-standard treatment of diabetes patients in rural areas is particularly serious.Diabetes health management is focused on preventing and controlling diabetic complications in rural areas of China,as well as lowering disability and death rates.Objective To explore the effects of O2O peer mentor collaborative health management on the risk perception and diabetes management self-efficacy in rural patients with non-standard diabetes treatment.Methods A total of 90 diabetic patients with non-standard treatment in Lamadian Town,Ranghulu District,Daqing City from April to November 2023 were selected as the study subjects by convenience sampling method,and randomly assigned 45 patients to the experimental group and 45 to the control group.The experimental group adopted O2O peer mentor collaborative health management scheme,the intervention lasted for 6 months,and the control group adopted conventional chronic disease health management.A comparison was made between the two groups'risk perception and self-efficacy in managing their diabetes.Results The study was concluded with 42 cases in the experimental group and 41 instances in the control group.Following the intervention,the experimental group and control group had scores on the diabetes risk perception scale of(43.86±7.00)and(32.56±4.24),there was a statistically significant difference between them(t=8.864,P<0.001).Similarly,the experimental group and control group had scores on the diabetes management self-efficacy scale of(100.45±16.74)and(75.54±13.82),there was a statistically significant difference between them(t=7.384,P<0.001).Conclusion The O2O peer mentor collaborative health management program can effectively improve the risk perception and diabetes management self-efficacy of rural patients with non-standard diabetes treatment,and improve their health management level.

关 键 词：糖尿病 健康管理 同伴导师协同式 不规范治疗 农村卫生 

分 类 号：R587.1[医药卫生—内分泌]