基于赋权教育的自我管理干预对农村糖尿病患者的影响
Effect of self-management program based on empowerment education model on dia-betes patients living in rural areas
刘倩 1张英英 2胡迪 3王永娥 4徐美菊4
作者信息
- 1. 武汉大学中南医院脊柱与骨肿瘤一病区(湖北武汉,430062)
- 2. 武汉大学中南医院创伤与显微骨科(湖北武汉,430062)
- 3. 武汉大学中南医院Ⅰ期临床研究室(湖北武汉,430062)
- 4. 武汉大学中南医院内分泌科(湖北武汉,430062)
- 折叠
摘要
目的 探讨实施基于赋权教育的 自我管理干预对农村糖尿病患者自我管理能力的效果.方法 选取内分泌科住院的78例农村糖尿病患者为研究对象,按照入院时间顺序分成对照组(2022年6-10月)和观察组(2022年11月至2023年3月)各39例.观察组接受基于赋权教育模式的 自我管理方案;对照组接受常规的糖尿病宣教方案.比较两组干预后血糖控制水平、自我管理能力和疾病态度.结果 观察组34例、对照组35例完成研究.两组出院当 日,出院后3、6个月患者自我管理能力、糖尿病态度得分显著高于对照组,空腹血糖值显著低于对照组(均P＜0.05).结论 实施基于赋权教育的 自我管理方案可改善农村糖尿病患者对疾病的态度和血糖控制水平,提高自我管理能力.
Abstract
Objective To explore the effect of self-management program based on empowerment education model on diabetes patients living in rural areas.Methods Totally,78 rural diabetes patients living in rural areas of Hubei province were selected and divided into 2 groups in chronological order of admission:the control group(June to October 2022)and the intervention group(November 2022 to March 2023),39 cases each.The intervention group was subjected to a self-management program developed based on the empowerment education model,while the control group to the conventional diabetes education program.Fasting blood glucose levels,self-management ability and attitude towards disease were compared between the two groups before and after intervention.Results Thirty-four cases in the intervention group and 35 cases in the control group completed the study.The intervention group had significantly higher scores of self-management ability and diabetes attitude,and lower fasting blood glucose level on the day of discharge,and 3 and 6 months after discharge(all P＜0.05).Conclusion The self-management program developed based on the empowerment education model can significantly improve attitude towards diabetes and blood glucose control among diabetes pa-tients living in rural areas,and enhance their self-management ability.
关键词
糖尿病/农村/血糖/自我管理/疾病态度/赋权/赋权教育/健康教育Key words
diabetes/rural areas/blood glucose/self-management/attitude towards disease/empowerment/empower-ment education/health education引用本文复制引用
基金项目
武汉大学中南医院临床护理研究项目(LCHLYJ202224)
湖北省卫生健康委联合基金科技创新平台支撑项目(WJ2019H079)
出版年
2024
NETL
NSTL
万方数据