【摘要】 目的评价糖尿病自我管理培训指导网络对2型糖尿病患者自我效能的影响。方法将196例2型糖尿病患者根据入院顺序分为试验组124例和对照组72例。试验组采用自我管理培训指导网络模式,即给予初期为期5个半天的糖尿病集中培训加后续的强化随访(包括活动、电话、短信、网络等方式);对照组采用常规的糖尿病教育,即给予分次糖尿病教育指导和后续的定期随访。于入组时、入组后6个月、12个月采用糖尿病自我效能量表评价糖尿病患者的自我效能水平,使用编制的调查问卷记录患者的一般情况、糖化血红蛋白等资料,进行不同教育模式对自我效能的影响分析。结果试验组患者入组时、随访6个月、随访12个月的自我效能得分分别为(7.5±1.3)分、(8.3±1.1)分、(8.2±1.2)分,对照组患者分别为(7.2±1.1)分、(7.9±0.9)分、(7.5±0.8)分,入组时两组比较差异无统计学意义(P>0.05),随访6个月、12个月两组比较差异均有统计学意义(P<0.05)。试验组患者入组时、随访6个月、随访12个月的糖化血红蛋白水平分别为(8.7±2.1)%、(6.7±1.0)%、(7.1±1.2)%,对照组患者分别为(9.2±2.2)%、(7.5±1.4)%、(7.6±1.1)%,入组时两组比较差异无统计学意义(P>0.05),随访6个月、12个月两组比较差异均有统计学意义(P<0.05)。自我效能得分与糖化血红蛋白水平呈负相关(r=-0.14,P<0.05)。结论糖尿病自我管理培训指导网络模式在改善2型糖尿病患者的自我效能方面更有效。更多还原

【Abstract】 Objective To evaluate the effect of education network for diabetes self-management on the self-efficacy in patients with type 2 diabetes mellitus.Methods Totally 196 patients with type 2 diabetes mellitus were assigned to trial group(n=124) and control group(n=72) according their order of admission.The patients in the trial group were treated with mode of education network for diabetes self-management:diabetes self-management training for 5 sequential half-a-days in a diabetes healthy school and subsequent consolidating follow-up(activity,telephones,short messages,website,etc).While the patients in the control group were treated with conventional education on diabetes:fractionated diabetes education guidance and subsequent regular follow-up.A Chinese version of self-efficacy scale was used to evaluate the level of diabetes self-efficacy respectively 6 and 12 months later;and a self-designed inventory was used to record the patients′ general conditions,and glycosylated hemoglobin(HbA1c),so as to analyze the self-efficiency under the different modes.Results The self-efficiency scores of the patients in the trial group were(7.5±1.3) at the beginning,(8.3±1.1) sex months later,and(8.2±1.2) 12 months later,respectively.While those of the patients in the control group were(7.2±1.1),(7.9±0.9),and(7.5±0.8),respectively,with no significant difference at the beginning between the two groups(P>0.05),but with significant differences both 6 and 12 months later(P<0.05).The HbA1c levels of the patients in the trial group were(8.7±2.1)% at the beginning,(6.7±1.0)% sex months later,and(7.1±1.2)% 12 months later,respectively.While those of the patients in the control group were(9.2±2.2)%,(7.5±1.4)%,and(7.6±1.1)%,respectively,with no significant difference at the beginning between the two groups(P>0.05),but with significant differences both 6 and 12 months later(P<0.05).And the self-efficiency score and the HbA1c level were negatively correlated(r=-0.14,P<0.05).Conclusion The mode of education network for diabetes self-management is more effective to improvement of self-efficacy in patients with type 2 diabetes mellitus.更多还原