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目的评估池州市社区2型糖尿病患者自我管理项目实施效果。方法采用社区为基础的自身前后对照试验研究设计,对6组121名自愿参加该项目的 2型糖尿病患者进行为期1年的干预。于干预前后进行问卷调查和生化指标测定,采用χ2检验、秩和检验和方差分析,比较参加者在干预前后自我效能、知识了解、健康行为形成、自我管理、血糖控制等方面的变化。结果干预后,糖尿病患者知信行18项指标有显著提升(P均<0.01),血糖控制良好标准率提高了13.2个百分点,平均血糖水平下降0.4 mmol/L。结论社区糖尿病自我管理项目干预12个月后有助于改变参加者危险行为,提高患者自我管理效能,增进医患交流,并改善患者健康状况。
Objective To evaluate the implementation effect of self-management of type 2 diabetes patients in community of Chizhou. METHODS: A community-based, self-controlled, pilot study design was used to conduct a one-year intervention in a group of 121 patients with type 2 diabetes who volunteered for the project. Before and after intervention, questionnaires and biochemical indexes were measured. Chi-square test, rank sum test and analysis of variance were used to compare participants’ self-efficacy, knowledge, health behavior formation, self-management and blood sugar control before and after intervention. Results After intervention, 18 indicators of diabetes mellitus were significantly improved (P <0.01), the standard of glycemic control was increased by 13.2 percentage points and the average blood glucose level was decreased by 0.4 mmol / L. Conclusion Community diabetes self-management project intervention after 12 months will help to change the risk behavior of participants, improve patient self-management efficacy, improve doctor-patient communication, and improve patient health status.