Application of interactive self-management education model in self-management behavior of outpatients with type 2 diabetes
10.3760/cma.j.cn115682-20200420-02863
- VernacularTitle:互动式自我管理教育模式在2型糖尿病门诊患者自我管理行为中的应用
- Author:
Yu JIN
1
;
Lifang JIN
;
Guoning ZHAO
;
Hongmei LI
Author Information
1. 长治医学院附属和平医院门诊部，长治 046000
- Keywords:
Diabetes mellitus, type 2;
Interactive self-management education model;
Self-management behavior
- From:
Chinese Journal of Modern Nursing
2021;27(1):99-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of interactive self-management education model in the self-management behavior of outpatients with type 2 diabetes (T2DM) .Methods:Convenience sampling method was used to select 98 patients with T2DM who were treated in the Outpatient Department of Heping Hospital Affiliated to Changzhi Medical College from March 2018 to March 2019 as the research objects. Patients were randomly divided into control group and observation group by lottery, with 49 cases in each group. On the basis of hypoglycemic and basic disease treatment, control group carried out the conventional self-management education model, and observation group implemented the interactive self-management education model. We compared the score of Summary of Diabetes Self-Care Activities (SDSCA) , fasting blood glucose (FBG) , 2-hour postprandial blood glucose (2 hPBG) , glycosylated hemoglobin (HbA1c) between the two groups of patients before and after intervention, as well as compliance after intervention to understand the self-management behavior, blood glucose control and compliance of patients.Results:After intervention, except for the smoking dimension, the scores of all dimensions of SDSCA in observation group were higher than those of control group, and the differences were statistically significant ( P<0.05) . After intervention, FBG, 2 hPBG and HbA1c of observation group were (5.11±0.62) mmol/L, (6.83±0.59) mmol/L and (4.62±0.34) % respectively, which were lower than those of control group [ (7.28±0.73) mmol/L, (8.41±0.72) mmol/L, (7.23±0.35) %], the differences were statistically significant ( t=15.860, 11.881, 37.442; P<0.05) . After intervention, there was a statistically significant difference in the compliance of the two groups of patients ( Z=7.170, P<0.05) . Conclusions:The interactive self-management education model can improve the self-management ability of patients with T2DM and effectively control the blood glucose of patients, which is worthy of clinical promotion.
