摘要
背景我国糖尿病发病率逐年上升,2型糖尿病更甚。随着通信科技的发展,糖尿病防治已经慢慢走向线上医疗,近年来新提出的目视管理法就是借助通信技术实现的极佳线上医疗模式,能有效促进慢性病患者进行自我管理。目的评价目视健康管理促进2型糖尿病患者自我管理能力及行为的效果。方法选取2017年9月—2018年1月于广东省2家三级甲等医院及3家社区卫生服务中心就诊的2型糖尿病患者70例,按随机数字表法分为对照组和试验组各35例。两组患者均予以常规糖尿病健康管理,试验组患者在此基础上给予目视健康管理。比较两组患者干预前及干预12周后糖化血红蛋白(HbA_(1c))、三酰甘油(TG)、糖尿病自我效能量表中文版-短版(CDES-SF)评分、糖尿病自我照顾量表(DSC)评分,及干预12周后自我血糖监测(SMBG)依从性。结果最终对照组脱落5例、试验组脱落4例。干预前,两组HbA_(1c)、TG、CDES-SF评分、DSC评分比较,差异无统计学意义(P>0.05);干预12周后,试验组患者SMBG依从性高于对照组,CDES-SF评分及DSC评分高于对照组,差异有统计学意义(P<0.05);干预12周后,两组HbA_(1c)、TG水平比较,差异无统计学意义(P>0.05)。结论目视健康管理法可以提高糖尿病患者进行SMBG的依从性,提高患者自我效能,促进患者自我照顾,值得在糖尿病慢性病管理中应用推广。
Background The morbidity of diabetes,especially type 2 diabetes,increases annually in China.With the development of communication technology,mobile health has become an important method to prevent and treat diabetes.In recent years,visual management combined with mobile health technology has been proved to be a great method in improving the self-management ability of type 2 diabetes patients.Objective This study was to explore the effectiveness of visual management in improving the self-management ability and behaviors of type 2 diabetic patients.Methods Totals of 70 cases with type 2 diabetes were recruited from 2 tertiary grade A hospitals and 3 community health centers in Guangdong Province from September 2017 to January 2018.By use of a random number table,they were divided into the control group(35 cases)and experimental group(35 cases).Both groups received routine diabetes management.The experimental group also received visual management.At baseline and at the end of a 12-week intervention,levels of glycosylated hemoglobin(HbA1c)and triacylglycerol(TG)were measured,and scores of the Chinese Diabetes Empowerment Scale-Short Form(CDES-SF),and Diabetes Self-Care Scale(DSC)were assessed.Moreover,adherence to self-monitoring of blood glucose(SMBG)was evaluated after the 12-week intervention.Results Except for 9 drop outs(5 from control group,4 from experimental group),the other participants completed the intervention.The average levels of HbA1c and TG,and average scores of CDES-SF and DSC showed no significant differences between the groups(P>0.05).When the intervention ended,although the HbA1c and TG levels were still similar in both groups(P>0.05),the adherence to SMBG was much better and the average scores of CDES-SF and DSC were much higher in the experimental group(P<0.05).Conclusion Visual management combined with routine diabetes management can improve the adherence to SMBG and self-efficacy,and enhance the self-care ability in diabetic patients.It is worth promoting in the management of type 2 diabetes.
作者
赵子煜
高志娟
陆嘉燕
胡笑霞
陈静
陈佩仪
ZHAO Ziyu;GAO Zhijuan;LU Jiayan;HU Xiaoxia;CHEN Jing;CHEN Peiyi(School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Department of Endocrinology,Daxuecheng Hospital,Guangdong Provincial Hospital of TCM,Guangzhou 510006,China;Kiang Wu Nursing College of Macao,Macao 999078,China)
出处
《中国全科医学》
CAS
北大核心
2019年第13期1603-1607,共5页
Chinese General Practice
基金
澳门特别行政区科学技术发展基金(2014Jan03)
关键词
糖尿病
2型
自我血糖监测
目视健康管理
自我管理能力
Diabetes mellitus,type 2
Self-monitoring blood glucose
Visual management
Self-management ability
