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目的:探讨团体化模式认知干预对社区2型糖尿病患者疾病认知、自我管理和生活质量的影响。方法:收集96例符合纳入标准的社区2型糖尿病患者作为观察对象,随机分为对照组48例和观察组48例。对照组给予常规认知干预,观察组患者给予团体化模式认知干预。采用自制问卷调查表、Deborah糖尿病自我管理量表、糖尿病患者生活质量特异性量表评价患者疾病认知、自我管理水平和生活质量。干预3个月,比较两组患者疾病认知、自我管理水平及生活质量。结果:干预后,与对照组相比,观察组患者疾病认知评分升高,组间比较差异有统计学意义(P<0.05)。观察组患者干预后饮食控制、运动依从性、药物依从性、监测依从性、足部护理等反映自我管理水平评分较对照组升高,组间差异都有统计学意义(P均<0.05)。生活质量方面,生理维度、心理维度、社会关系维度、质量维度及总分等评分降低,组间比较差异都有统计学意义(P均<0.05)。结论:团体化模式认知干预在社区2型糖尿病中应用效果良好,能够提高患者疾病认知、自我管理水平,并改善生活质量,临床上值得应用。
Objective: To explore the impact of group mode cognitive intervention on community cognition, self-management and quality of life in type 2 diabetic patients. Methods: A total of 96 patients with type 2 diabetes mellitus who met the inclusion criteria were enrolled in the study. They were randomly divided into control group (48 cases) and observation group (48 cases). The control group was given routine cognitive intervention, and the observation group was given group mode cognitive intervention. A self-made questionnaire, Deborah Diabetes Self-Management Scale, and Diabetes Quality of Life Scale were used to assess patient’s disease awareness, self-management and quality of life. Intervention for 3 months, the two groups of patients with disease awareness, self-management and quality of life. Results: Compared with the control group, the cognitive score of patients in the observation group increased after intervention, with significant difference between the two groups (P <0.05). The score of self-management reflecting diet control, motor compliance, drug compliance, monitoring compliance and foot care in the observation group was higher than that in the control group, with significant difference between the two groups (all P <0.05). In terms of quality of life, physical dimension, psychological dimension, social relationship dimension, quality dimension and total score decreased, and there were significant differences among groups (all P <0.05). CONCLUSION: The cognitive model of community-based intervention has a good effect in community type 2 diabetes, which can improve patients’ cognition and self-management of diseases and improve their quality of life, which is worthy of clinical application.