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时间:2020-04-17
《不同干预模式对糖尿病患者知信行影响的评价.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中国社会医学杂志2014年8月第31卷第4期ChineseJournalofSocialMedicine,August2O14,Vo1.31,No.4·259·不同干预模式对糖尿病患者知信行影响的评价戴冉,罗崴,张知光,郝晓萌【摘要】目的评价开展患者自我管理活动和一般健康教育对糖尿病患者知信行的影响。方法按照以社区为基础的随机对照试验研究设计,将210名自愿参加项目的糖尿病患者随机分为自我管理组(n一106)和健康教育组(n一104),基线时和干预后开展问卷调查,对知信行指标得分进行组内和组间比较。结果①1O项指标中,自我管理组干预后9项指标
2、(糖尿病知识知晓情况、饮食管理、运动管理、血糖监测、足部护理和血糖异常处理自我效能、生活方式干预、血糖监测和足部护理行为)得分较干预前提高(P<0.05);健康教育组干预后5项指标(糖尿病知识知晓情况、饮食管理、足部护理和血糖异常处理自我效能、生活方式干预行为)得分较干预前提高(P<0.05);②2组患者相比,自我管理组5项指标(糖尿病知识知晓情况、饮食管理、血糖监测和足部护理自我效能,足部护理行为)得分的改善程度较大(P3、为改善效果优于健康教育组。【关键词】糖尿病;自我管理;健康教育;效果评价【中图分类号】R587.1【文献标识码】ADOI:10.3969/j.issn.1673-5625.2014.04.014EvaluationOfKAPEffectsamongDiabeticPatientsbyDiffcrentInterventionModelsDAIRan,LUOWei,HAOXiaomeng,eta1.LuogangDistrictCenterforDiseaseControlandPreventioninGuan—gzhou,Gunangzhou4、,510730,China[Abstract]ObjectivesToevaluatetheKAPeffectsamongdiabeticpatientsbydifferentinterventionmodels.MethodsAcommunity-basedrandomcontrolledtria1wasconductedamong210volunteerdiabeticpatientswhoweredividedintoself-managementgroup(n=106)andhealtheducationgroup(n=104).Re5、sults①Nine(theknowledgeaboutdiabetes:theself-efficacyaboutdietmanagement,exercisemanagement,blood—sugarmonitoring,footcareandblood—sugarexceptionhandling;thebehavioraboutlifestyleintervention,blood—sugarmonitoringandfootcare)ofthetenindicatorscoresweresignificantlyimprovedc6、omparedtothosebeforeinterventionforself-man~agementgroup(P7、nforhealtheducationgroup(P<0.05).②Forthecomparisonoftwogroups,thescorechangesoffiveindicators(theknowledgeaboutdiabetes;theself-efficacyaboutdietmanagement,blood—sugarmonitoringandfootcare;thebehavioraboutfootcare)forself—managementgroupweremorethanthoseforhealtheducationgr8、oup(P<0.05).ConclusionsBothoftwointerventionmodelswerehelpfultocontroldiabetes.The
3、为改善效果优于健康教育组。【关键词】糖尿病;自我管理;健康教育;效果评价【中图分类号】R587.1【文献标识码】ADOI:10.3969/j.issn.1673-5625.2014.04.014EvaluationOfKAPEffectsamongDiabeticPatientsbyDiffcrentInterventionModelsDAIRan,LUOWei,HAOXiaomeng,eta1.LuogangDistrictCenterforDiseaseControlandPreventioninGuan—gzhou,Gunangzhou
4、,510730,China[Abstract]ObjectivesToevaluatetheKAPeffectsamongdiabeticpatientsbydifferentinterventionmodels.MethodsAcommunity-basedrandomcontrolledtria1wasconductedamong210volunteerdiabeticpatientswhoweredividedintoself-managementgroup(n=106)andhealtheducationgroup(n=104).Re
5、sults①Nine(theknowledgeaboutdiabetes:theself-efficacyaboutdietmanagement,exercisemanagement,blood—sugarmonitoring,footcareandblood—sugarexceptionhandling;thebehavioraboutlifestyleintervention,blood—sugarmonitoringandfootcare)ofthetenindicatorscoresweresignificantlyimprovedc
6、omparedtothosebeforeinterventionforself-man~agementgroup(P7、nforhealtheducationgroup(P<0.05).②Forthecomparisonoftwogroups,thescorechangesoffiveindicators(theknowledgeaboutdiabetes;theself-efficacyaboutdietmanagement,blood—sugarmonitoringandfootcare;thebehavioraboutfootcare)forself—managementgroupweremorethanthoseforhealtheducationgr8、oup(P<0.05).ConclusionsBothoftwointerventionmodelswerehelpfultocontroldiabetes.The
7、nforhealtheducationgroup(P<0.05).②Forthecomparisonoftwogroups,thescorechangesoffiveindicators(theknowledgeaboutdiabetes;theself-efficacyaboutdietmanagement,blood—sugarmonitoringandfootcare;thebehavioraboutfootcare)forself—managementgroupweremorethanthoseforhealtheducationgr
8、oup(P<0.05).ConclusionsBothoftwointerventionmodelswerehelpfultocontroldiabetes.The
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