Application of goal setting on self-management in community diabetes patients
10.3760/cma.j.issn.1674-2907.2015.15.016
- VernacularTitle:目标设定法在社区糖尿病患者自我管理中的应用
- Author:
Wenjing HE
1
;
Aimin WANG
;
Hongjiang YE
;
Ling ZHANG
Author Information
1. 350025 南京军区福州总医院内分泌科
- Keywords:
Diabetes;
Community nursing;
Goal setting;
Self-management
- From:
Chinese Journal of Modern Nursing
2015;(15):1789-1792
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of goal-setting method for community diabetes patients′self-management capabilities. Methods Since January 2013 we established target support groups to help people set goals, which included diet control, regular exercise, prescribed medication, blood glucose monitoring, foot care and prevention and treatment of hyperglycemia and hypoglycemia. We conducted health lectures, follow-up and other measures to help patients achieve the goals, and observed the level of target completion, self management and glycemic control after 3 months. Results The constitution of six most complete goals setting were diet control 88. 89%, regular exercise 90. 48%, prescribed medication 100. 00%, blood glucose monitoring 54. 54%, foot care 100. 00%, prevention and treatment of hyperglycemia and hypoglycemia 80. 00%;self-management skills increased from the total score (81. 68 ± 19. 36) to (97. 11 ± 15. 11), and the differences were statistically significant (t =4. 562,P <0. 05). Compared with before the intervention, the fasting blood glucose after 3 months′ intervention was ( 9. 22 ± 0. 23 ) mmol/L, postprandial blood glucose (9.31 ±0.90)mmol/L, and glycosylated hemoglobin (7. 02 ± 1. 49)%, which were statistically significant (t=1. 219,2. 52,4. 887;P<0. 05). Conclusions The goal setting, which can ameliorate diabetes patients′self-management skills and control the blood glucose level, is worth of clinical promotion.
