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目的:探讨实施以同伴支持教育为主,医院、社区、患者三结合护理干预模式对社区老年糖尿病患者的应用效果。方法:将74例社区老年糖尿病患者随机分为干预组、对照组各37例,对照组采用常规健康教育,干预组进行8周的同伴教育,在干预前、干预结束2周时分别对两组患者进行血糖及自我管理效果评价。结果:干预前两组患者的空腹血糖、餐后2h血糖,糖尿病自我管理知识,自我效能、自我管理行为总分差异均无统计学意义(P>0.05);干预后,干预组患者的空腹血糖、餐后2h血糖均低于对照组(P<0.05),糖尿病自我管理知识、自我效能、自我管理行为总分均高于对照组(P<0.01)。结论:实施以同伴支持教育为主,医院、社区、患者三结合护理干预模式提升了社区老年糖尿病患者自我管理知识、自我效能、自我管理行为的能力,达到糖尿病有效控制的目标。
OBJECTIVE: To explore the application effect of the three interventional nursing intervention modes in hospitals, community and patients on elderly diabetic patients. Methods: A total of 74 elderly patients with diabetes mellitus were randomly divided into intervention group (n = 37) and control group (n = 37). The control group received routine health education and the intervention group received peer education for 8 weeks. Before and 2 weeks after intervention, Patients with blood glucose and self-management evaluation. Results: There were no significant differences in fasting blood glucose, 2h postprandial blood glucose, self-management knowledge of diabetes, self-efficacy and self-management behavior scores between the two groups before intervention (P> 0.05); after intervention, the fasting blood glucose (P <0.05). The scores of self-management knowledge, self-efficacy and self-management of diabetes were higher than those of the control group (P <0.01). Conclusion: The implementation of peer support education, hospital, community, patients combined with three nursing intervention model to enhance community self-management of elderly patients with diabetes knowledge, self-efficacy, self-management behavior ability to achieve the goal of effective diabetes control.