Effectiveness of peer-supported self-management group intervention in patients with type 2 diabetes
10.3760/cma.j.cn112150-20190329-00229
- VernacularTitle:朋辈支持的2型糖尿病自我管理干预的效果评估
- Author:
Yun QIAN
1
;
Lu WANG
;
Hai CHEN
;
Yunqiu DONG
;
Jia LIU
Author Information
1. 无锡市疾病预防控制中心健康促进部 214023
- Keywords:
Diabetes mellitus;
Education;
Intervention studies;
Peer-support
- From:
Chinese Journal of Preventive Medicine
2020;54(4):406-410
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the effectiveness of peer-supported diabetes self-management group intervention and explore a community-based diabetes health management model.Methods:From September to December in 2016, patients with type 2 diabetes were recruited from 6 streets (townships) in Binhu and Xishan district of Wuxi, Jiangsu Province. According to a structured diabetes self-management course, guidance was provided by community health workers and peer volunteers. Self-management group intervention was led by type 2 diabetes patients. A self-control design was used to collect information on self-management behavior, fasting blood glucose, and health care utilization at baseline and after 4-month intervention, and compare the difference of these indicators before and after the intervention.Results:Compared with the baseline, 147 participants aged from 30 to 80 years old had more increases in proportions of salt control (78.2% vs 60.5%, P<0.001) and oil control (79.6% vs 58.5%, P<0.001) in daily diet. The P50 ( P25, P75) of scores of symptom management and consultation list increased from 6 (0, 11) and 0 (0, 2) to 9 (4, 13) and 1 (0, 2) ( P<0.05) after 4-month intervention. Fasting blood glucose significantly decreased from (8.8±2.9) mmol/L at baseline to (7.6±1.9) mmol/L and the control rate of blood glucose significantly increased from 29.3% to 44.2% ( P<0.05) after 4-month intervention. The proportion of outpatient visited decreased from 42.2% to 12.9% and the proportion of hospitalized decreased from 10.2% to 4.1% ( P<0.05) after 4-month intervention. Conclusion:Peer-supported diabetes self-management group intervention could effectively improve behavior and blood glucose control of patients with type 2 diabetes.
