摘要
目的调查糖尿病自我管理小组患者有氧运动水平,评估自我管理小组活动在社区糖尿病患者管理中的应用效果。方法选择2017年盐城市部分街道和乡镇1 120名(完成有效问卷1 092人)糖尿病患者作为研究对象。以调查问卷形式,对规范完成8次自我管理小组活动的患者进行评估。结果 1 092名完成问卷的调查对象中,城镇患者每周有氧运动次数多于3次的比例为50.50%,高于农村,差异有统计学意义(P<0.05);文化程度较高的患者和患病时间较长的患者每周有氧运动的次数分别高于高于文化程度较低的患者和患病时间较短的患者,差异有统计学意义(P<0.05)。患者自我管理小组活动后,糖尿病知识知晓率高于活动前,差异有统计学意义(P<0.05)。自我管理小组活动后,在血糖监测、足部检查、健康饮食和有氧运动等行为频率较活动前有显著性提高,差异有统计学意义(P<0.05)。患者在小组活动后的总自我效能得分及饮食控制、运动锻炼、药物治疗、血糖监测、足部护理和高低血糖处理6个部分的自我效能得分均高于活动前,差异有统计学意义(P<0.05)。结论城镇患者及文化程度较高和患病时间较长的糖尿病患者有氧运动水平较高;糖尿病患者自我管理小组活动是一种可以提高患者自我管理效能、培养患者自我管理意识和行为的有效管理方式。
Objective To investigate the level of aerobic exercise in patients of diabetic self-management groups,and to evaluate the application effect of self-management group activities in the management of community patients with diabetes.Methods We selected 1,120 diabetes patients(1,092 patients with effective questionnaires)from some streets and towns in Yancheng city in 2017 to serve as the surveyed subjects,and then evaluated patients who participated in self-management group activities eight times by using questionnaires.Results Among the 1,092 patients with effective questionnaires,the proportion of urban patients performing aerobic exercise more than three times per week(50.50%)was higher than that of rural patients,with a statistically significant difference(P<0.05).The frequency of performing aerobic exercise per week was higher in patients with higher education level than in ones with lower education level as well as higher in patients with longer disease duration than in ones with shorter disease duration,with statistically significant differences(both P<0.05).After intervention of self-management group activities,the awareness rate of diabetic-related knowledge in patients was higher than that before the intervention,showing a statistically significant difference(P<0.05).After intervention of self-management group activities,the frequency of behavior such as blood glucose monitoring,foot examination,healthy diet and aerobic exercise was significantly higher than that before the intervention,showing statistically significant differences(all P<0.05).The total self-efficacy score and the self-efficacy scores of diet control,exercise,medical treatment,blood glucose monitoring,foot care,and high-and low-blood sugar control in patients after the activity intervention were higher than those before the intervention,showing statistically significant differences(all P<0.05).Conclusions Urban diabetes patients,diabetes patients with higher education level and longer disease duration have a higher level of aerobic exercise.Intervention of self-management group activities in diabetes patients is an effective mode which can improve the self-management efficacy of patients and cultivate their self-management awareness and behavior.
作者
刘付东
孟显峰
张学艳
郑春早
刘荣海
LIU Fu-dong;MENG Xian-feng;ZHANG Xue-yan;ZHENG Chun-zao;LIU Rong-hai(Yancheng Municipal Center for Disease Control and Prevention,Yancheng,Jiangsu 224002,China;Weifang Municipal Center for Disease Control and Prevention,Weifang,Shandong 261000,China;School of Medical Technology,Jiangsu Vocational College of Medicine,Yancheng,Jiangsu 224000,China)
出处
《实用预防医学》
CAS
2019年第10期1165-1168,共4页
Practical Preventive Medicine
基金
盐城市医学科技发展计划项目(YK2015033)
江苏基层卫生发展研究项目(2017B01)
潍坊市卫生计生委科研项目(wfwsjs-2018-114)
关键词
糖尿病
自我管理
有氧运动
效果评价
diabetes
self-management
aerobic exercise
effect evaluation
