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目的通过建立糖尿病患者自我管理小组,定期开展自我管理活动,对糖尿病患者进行健康干预,并对干预结果进行效果评价。方法在淮安市招募已确诊为糖尿病的患者257例作为研究对象,分为16个自我管理小组,对患者进行每2周1次,共6次自我管理小组活动,在活动前和6次活动结束后分别对患者知信行情况进行问卷调查。结果经过6次自我管理小组活动,患者对糖尿病危害知晓率由活动前的62.6%上升到99.6%,对糖尿病防治措施知晓率由80.5%上升到99.2%,调查前后差异均有统计学意义(P<0.01)。98%以上的患者在参加活动后知道了合理饮食和运动治疗的重要性。结论社区糖尿病患者参加糖尿病自我管理小组活动,可有效提高糖尿病患者的自我管理意识及能力,增强患者战胜糖尿病自信心,为控制血糖提供帮助。
Objective To establish a diabetes self-management group to carry out self-management activities on a regular basis to provide health interventions for diabetic patients and to evaluate the effects of the interventions. Methods Totally 257 cases of patients with diabetes diagnosed in Huaian City were enrolled and divided into 16 self-management groups. Patients were given once every 2 weeks for 6 self-management group activities. Before and 6 times of activities After the patient were informed of the behavior of the questionnaire survey. Results After six self-management group activities, the awareness rate of patients with diabetes was increased from 62.6% before exercise to 99.6%, and the awareness rate of diabetes prevention and treatment measures increased from 80.5% to 99.2%. The differences were statistically significant before and after the survey (P <0.01). More than 98% of patients after participating in the activity to know the importance of proper diet and exercise therapy. Conclusion The participation of community diabetes patients in the diabetes self-management group activities can effectively improve the self-management awareness and ability of patients with diabetes, enhance patients’ self-confidence over diabetes and help to control blood sugar.