江苏省3市城乡社区糖尿病患者自我管理项目近期效果分析

发布时间：2018-10-29 13:56

【摘要】：目的了解江苏省城乡社区糖尿病患者自我管理项目开展的效果。方法在江苏省淮安市、苏州市和盐城市选择城乡社区糖尿病患者组建自我管理小组并开展活动,对参加自我管理小组的糖尿病患者分别进行基线调查和活动效果评估调查。结果共调查368例,平均年龄为(62.2±9.0)岁。自我管理小组在开展活动后,除了饮食治疗原则和不同食物摄入量2个知识点外,患者对空腹血糖范围(55.4%提高到75.8%)、血压控制范围(22.3%提高到73.1%)、超重标准(21.7%提高到68.2%)、有氧运动时间(9.2%提高到49.7%)、食物交换份计算(15.0%提高到67.1%)、碳水化合物占比(9.8%提高到50.5%)、食盐摄入量(53.3%提高到92.4%)、食用油摄入量(29.6%提高到77.5%)、糖尿病的危害(42.7%提高到84.0%)和糖尿病的防治措施(66.9%提高到94.3%)这10个知识点知晓率有了明显的提高,差异有统计学意义(P0.05);在参加活动后,总自我效能得分、饮食控制、运动锻炼、遵医服药、血糖监测、足部护理和高、低血糖处理等6各分量表得分均较活动前有所升高,差异均有统计学意义(P0.05)。结论江苏省3城市城乡社区糖尿病患者自我管理的近期效果较好,可以在城乡社区大力推广自我管理小组模式。
[Abstract]:Objective to investigate the effect of self-management of diabetes patients in urban and rural communities in Jiangsu province. Methods in Huai'an City, Suzhou City and Yancheng City, Jiangsu Province, diabetes patients in urban and rural communities were selected to set up self-management group and carry out activities. Baseline survey and activity effect evaluation survey were carried out among diabetics who participated in self-management group. Results 368 cases were investigated with an average age of (62.2 卤9.0) years. In addition to the two knowledge points of dietary treatment principles and different food intake, the self-management group carried out activities, and the range of fasting blood glucose was increased from 55.4% to 75.8%. Blood pressure control range (22.3% to 73.1%), overweight standard (21.7% to 68.2%), aerobic exercise time (9.2% to 49.7%), The calculation of food exchange (15.0% to 67.1%), carbohydrate (9.8% to 50.5%), salt intake (53.3% to 92.4%), food exchange (15.0% to 67.1%), carbohydrates (9.8% to 50.5%), salt intake (53.3% to 92.4%), Edible oil intake (29.6% to 77.5%), The awareness rate of the ten knowledge points of diabetes mellitus (42.7% to 84.0%) and the prevention and treatment measures (66.9% to 94.3%) were significantly improved (P0.05). The scores of total self-efficacy, diet control, exercise, compliance with medicine, blood glucose monitoring, foot nursing and high, hypoglycemia treatment were all higher than those before exercise. The difference was statistically significant (P0.05). Conclusion the self-management of diabetic patients in urban and rural communities in 3 cities of Jiangsu Province is effective in the near future, and the self-management group model can be popularized in urban and rural communities.
【作者单位】：江苏省疾病预防控制中心;淮安市疾病预防控制中心;盐城市疾病预防控制中心;常熟市疾病预防控制中心;
【基金】：江苏省卫生厅医学领军人才项目(K2011051)
【分类号】：R587.1

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