Impact of self-management support on the behavior and metabolic parameters of type 2 diabetic patients with obesity
10.3760/cma.j.issn.1674-2907.2016.18.018
- VernacularTitle:自我管理支持对肥胖2型糖尿病患者行为及代谢指标的影响
- Author:
Junxiang GAO
1
;
Shuo KANG
;
Ling QIN
;
Caige LI
;
Jingna BAI
;
Honghong WANG
;
Yanyan GUO
;
Lihui ZHANG
Author Information
1. 050000 石家庄，河北医科大学第二医院内分泌科
- Keywords:
Obesity;
Diabetes;
Self-management support
- From:
Chinese Journal of Modern Nursing
2016;22(18):2585-2588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of self-management support on the behavior and metabolic parameters of type 2 diabetic patients with obesity.Methods A total of 96 inpatients of type 2 diabetes with obesity,who hospitalized in the Second Hospital of Hebei Medical University from October 2014 to March 2015, were randomly assigned to control group and intervention group with 49 cases and 47 cases respectively.The patients in the control group received routine health education,while the patients in the intervention group were given self-management support by educational team with eight members constituted by physicians,nurse educators,dietitians,psychologists,etc.additionally.The patients in both groups were followed up for 3 months,self-management behaviors,body weight,body mass index (BMI ), waist circumference and glycosylated hemoglobin(HbA1c)that measured before and 3 months after the intervention.Results The self-management behaviors in the intervention group were significantly better than those in the control group after the intervention (P <0.05 ).The values of HbA1c and waist circumference [(7.14 ±0.68 )%,(94.82 ± 8.90)cm]in the intervention group were significantly lower than [(7.70 ±0.58)% ,(98.31 ±6.38)cm]in the control group after the intervention (P <0.05).The body weight and body mass index(BMI)changed were not significantly compared with the control group (P >0.05 ).Conclusions Self-management support can improve the patients′self management behavior,reduce blood sugar,waist circumference and the risk factors for the occurrence of chronic complications.
