| 黄建芬,许华娇,何晓玲.健康日历在居家糖尿病患者自我管理及血糖控制中的效果研究[J].上海护理,2019,19(3): |
| 健康日历在居家糖尿病患者自我管理及血糖控制中的效果研究 |
| Study on effects of “Diabetes health calendar”relating to self-management behaviors and glycemic control in home diabetics. |
| DOI： |
| 中文关键词: 糖尿病日记 糖尿病 居家护理 健康教育 自我管理 |
| 英文关键词:diabetes calendar diabetes mellitus home care health education self-management ability. |
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| 中文摘要: |
| 摘要：目的 探讨记录“糖尿病健康日历”对居家糖尿病患者自我管理能力及糖化血红蛋白水平的影响。方法 将120例居家糖尿病患者，采用随机信封法分为对照组和观察组各60例。对照组患者参加糖尿病知识讲座并每月1次糖尿病教育门诊随访，观察组患者在此基础上记录“糖尿病健康日历”。分别比较两组患者自我管理能力得分及糖化血红蛋白水平的改变情况。结果 两组患者在教育后、入组3个月后、6个月后的自我管理能力在饮食、运动2方面均有统计学差异（饮食：t1=3.80，P1=0.00；t2=4.89，P2=0.00；t3=5.56，P3=0.00。运动：t1=2.84，P1=0.01；t2=2.32，P2=0.02；t3=3.74，P3=0.00。），观察组患者得分显著高于对照组。在入组6个月后，观察组患者HbA1C水平显著低于对照组患者（t=-4.09，P=0.00）。结论 记录“糖尿病健康日历”能提高居家糖尿病患者的自我管理能力并促进血糖的控制。 |
| 英文摘要: |
| Objective To investigate the effect of “Diabetes health calendar”on self-management ability and the level of glycosylated hemoglobin in home diabetics.Methods With random envelope method,120 home patients meeting the requirement were divided into a control group and an observation group .Patients in the control group were asked to participate in diabetes knowledge lectures once a week and follow-up in diabetes education clinic per mounth.Patients in the observation group were additionlly asked to record “Diabetes health calendar”. Self-management ability scores were compared between the two groups in group time、after the education、3 and 6 mounths later ，the level of glycosylated hemoglobin were compared between the two groups in group time、3 and 6 mounths later.Results In self-management behavior scale ,the scores of compliance with diabetes diet and exercise in the observation group patients were obviously higher than the scores in the control group patients after the education、3 and 6 mounth later （Diet：t1=3.80，P1=0.00；t2=4.89，P2=0.00；t3=5.56，P3=0.00.Exercise：t1=2.84，P1=0.01；t2=2.32，P2=0.02；t3=3.74，P3=0.00.）.Whereas the value of glycosylated hemoglobin in the observation group patients was significantly lower than that in the control group patients 6 mounth later（t=-4.09，P=0.00）.Conclusion “Diabetes health calendar”can be used to improve self-management behavior and glycemic control in home patients with T2DM. |
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