【摘要】 目的:探讨病友支持团队管理在2型糖尿病患者居家自我管理中的应用效果。方法:将100例居家2型糖尿病患者随机分为对照组与实验组,每组各50例,两组均进行常规的糖尿病知识教育和饮食运动指导,实验组在此基础上加入病友团队支持教育。观察并比较两组患者干预前及干预后6个月的自我管理活动、自我效能、糖化血红蛋白(HbA1c)、体质量指数(BMI)、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖的变化。结果:干预后实验组患者的自我管理活动、自我效能、HbA1c、BMI、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖指标优于对照组,差异有统计学意义(P<0.05)。结论:病友团队支持教育能有效提高居家2型糖尿病患者自我管理行为,增强自我效能感,改善相关代谢指标。更多还原

【Abstract】 Objective: To investigate the effect of reciprocal peer support in self-management of patients with type 2 diabetes. Methods: Totally 100 patients with type 2 diabetes were enrolled and randomly divided into control group(n=50) and experimental group(n=50). Both groups were subjected to conventional education on diet and exercise, while the experimental group was added with "reciprocal peer support" supporting education. The two groups were compared in terms of self-care activities, self-efficacy, glycated hemoglobin(HbA1c), body mass index(BMI), waistline in fasting state, blood lipids, fasting glucose and 2h postprandial blood glucose before the intervention and six months later. Results: The self-care activities, selfefficacy, HbA1 c, BMI, waistline, blood lipids, fasting glucose, 2h postprandial blood glucose of the experimental group were significantly better than those of the control group. Conclusion: Reciprocal peer support can improve self-management behaviors of type 2 diabetic patients, enhance their self-efficacy and promote their metabolic indexes.更多还原