团体同伴支持干预对社区2型糖尿病患者血糖及自我效能影响分析(1)
[摘要] 目的 研究探讨团体同伴支持干预对社区2型糖尿病患者血糖、自我效能及压力的影响。方法 研究时间：2016年6月—2018年6月;研究对象：社区卫生服务中心登记建档的72例2型糖尿病患者并分为对照组与观察组，对照组实施常规社区管理，观察组在对照组基础上实施团体同伴支持干预，比较两组的服药依从性、自我效能感评分等。结果 ①服药依从性比较，观察组的总依从率高于对照组(P<0.05)。②自我效能感评分比较，干预后，两组均较干预前增高(P<0.05)，而观察组高于对照组(P<0.05)。③空腹血糖、餐后2 h血糖等血糖指标比较，干预后，两组均较干预前降低(P<0.05)，而观察组均低于对照组(P<0.05)。 结论 在2型糖尿病患者社区管理中开展团体同伴支持干预，可有效提高患者的服药依从性和自我效能感，使其生活质量水平得以提升。
[关键词] 2型糖尿病;社区管理;护理;团体同伴支持干预
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2019)08(a)-0186-02
[Abstract] Objective To investigate the effects of group peer support intervention on blood glucose， self-efficacy and stress in community type 2 diabetic patients. Methods Study time： From June 2016 to June 2018; Study subjects： 72 cases of type 2 diabetes patients registered and documented by the community health service center were divided into the control group and the observation group， and the control group implemented routine community management. On the basis of the control group， group peer support intervention was implemented， and the medication compliance and self-efficacy scores of the two groups were compared. Results 1.The compliance rate of the observation group was higher than that of the control group (P<0.05). 2.Comparison of self-efficacy scores， after intervention， the two groups were higher than before the intervention(P<0.05)， while the observation group was higher than the control group (P<0.05). 3.Comparison of fasting blood glucose， postprandial 2 h blood glucose and other blood glucose indicators， after intervention， the two groups were lower than before intervention (P<0.05)， while the observation group was lower than the control group (P<0.05). Conclusion Group peer support intervention in the community management of patients with type 2 diabetes can effectively improve the patient's medication compliance and self-efficacy， and improve their quality of life.
[Keywords] Type 2 diabetes; Community management; Nursing; Group peer support intervention
2型糖尿病是一種常见的慢性代谢性疾病，患者出院后主要是由当地社区卫生服务中心负责进行健康管理，在社区管理期间，如何确保患者服药依从性、控制其血糖具有重要意义。团体同伴支持模式是一种新型的管理模式，该研究旨在探讨团体同伴支持干预对社区2型糖尿病患者的影响，为此，针对2016年6月—2018年6月72例2型糖尿病患者开展研究，现报道如下。
1 资料与方法
1.1 一般资料
研究时间研究对象：在社区卫生服务中心登记建档的72例2型糖尿病患者;分组方法：数字随机表法。72例2型糖尿病患者被随机分为各由36例患者组成的对照组与观察组，其中，对照组有男18例、女18例，年龄50～82岁，平均(66.03±15.28)岁;观察组有男19例、女17例，年龄为50～84岁，平均(66.74±15.36)岁。两组的一般资料比较，差异无统计学意义(P>0.05)，证实该研究可比，且两组均对研究知情同意。该研究获伦理学委员会批准。, 百拇医药(于奉芹)
[关键词] 2型糖尿病;社区管理;护理;团体同伴支持干预
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2019)08(a)-0186-02
[Abstract] Objective To investigate the effects of group peer support intervention on blood glucose， self-efficacy and stress in community type 2 diabetic patients. Methods Study time： From June 2016 to June 2018; Study subjects： 72 cases of type 2 diabetes patients registered and documented by the community health service center were divided into the control group and the observation group， and the control group implemented routine community management. On the basis of the control group， group peer support intervention was implemented， and the medication compliance and self-efficacy scores of the two groups were compared. Results 1.The compliance rate of the observation group was higher than that of the control group (P<0.05). 2.Comparison of self-efficacy scores， after intervention， the two groups were higher than before the intervention(P<0.05)， while the observation group was higher than the control group (P<0.05). 3.Comparison of fasting blood glucose， postprandial 2 h blood glucose and other blood glucose indicators， after intervention， the two groups were lower than before intervention (P<0.05)， while the observation group was lower than the control group (P<0.05). Conclusion Group peer support intervention in the community management of patients with type 2 diabetes can effectively improve the patient's medication compliance and self-efficacy， and improve their quality of life.
[Keywords] Type 2 diabetes; Community management; Nursing; Group peer support intervention
2型糖尿病是一種常见的慢性代谢性疾病，患者出院后主要是由当地社区卫生服务中心负责进行健康管理，在社区管理期间，如何确保患者服药依从性、控制其血糖具有重要意义。团体同伴支持模式是一种新型的管理模式，该研究旨在探讨团体同伴支持干预对社区2型糖尿病患者的影响，为此，针对2016年6月—2018年6月72例2型糖尿病患者开展研究，现报道如下。
1 资料与方法
1.1 一般资料
研究时间研究对象：在社区卫生服务中心登记建档的72例2型糖尿病患者;分组方法：数字随机表法。72例2型糖尿病患者被随机分为各由36例患者组成的对照组与观察组，其中，对照组有男18例、女18例，年龄50～82岁，平均(66.03±15.28)岁;观察组有男19例、女17例，年龄为50～84岁，平均(66.74±15.36)岁。两组的一般资料比较，差异无统计学意义(P>0.05)，证实该研究可比，且两组均对研究知情同意。该研究获伦理学委员会批准。, 百拇医药(于奉芹)