Effect of self-management education on diabetes patients with depression
10.3760/cma.j.issn.1674-2907.2011.35.006
- VernacularTitle:自我管理教育对糖尿病伴抑郁症患者的影响
- Author:
Mei-Juan BIAN
1
;
Zi-Juan ZHANG
;
Ju-Fang JIANG
Author Information
1. 南京医科大学附属无锡精神卫生中心
- Keywords:
Diabetes;
Depression;
Health education;
Self-management
- From:
Chinese Journal of Modern Nursing
2011;17(35):4268-4270
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of self-management education on the diabetes patients with depression with a view to improve patient self-management skills.Methods 85 cases were randomly divided into two groups: the experimental group ( n =43) and the control group ( n =42),general health knowledge education was applied to patients in control group,and patients in experimental group took part in the selfmanagement education activity,the status of self-management education and depression were tested by Zung' S Depression self-rating scale (SDS) and Hamilton Depression Rating Scale (24,HAMD),the self-management,depression,fasting plasma glucose (FPG),postprandial 2 h blood glucose (2 h PG) were compared between the two groups after eight weeks later.Results The score of self-management,SDS,HAMD,fasting plasma glucose and postprandial 2 h blood glucose were similar between the two groups before intervention ( P ＞ 0.05 ).After 8 weeks,the results of compliance of the self-management,manage of complications,SDS,HAMD,fasting plasma glucose,postprandial 2 h blood glucose were ( 1.77 ±0.504),(2.19 ±0.588),(29.3 ±4.8),( 11.5 ±6.9),(5.3 ± 1.4) and (8.6 ± 1.1 ) in experimental group,respectively; but were ( 1.32 ± 0.744),( 1.83 ± 0.590),(36.5 ± 5.4),( 18.3 ± 1.3 ),(9.2 ± 2.1 ),( 11.1 ± 2.2 ) in control group,there were significantly different between the two groups (t =2.813,3.358,2.91,2.34,2.65,2.78; P ＜ 0.01 ).another four items of selfmanagement were obviously higher than in control group (P ＜ 0.01 ).Conclusions Self-management education can improve the patients' ability of self-management,it also can control the blood glucose level and improve the depression status,it is worthy of spreading in clinical.
