Study on the effectiveness of the self-management model for the aged patients with type 2 diabetes mellitus in communities
10.3760/cma.j.issn.0254-9026.2014.06.014
- VernacularTitle:社区老年2型糖尿病患者自我管理干预模式研究
- Author:
Huimin LI
;
Hongjie ZHANG
;
Ye JIANG
;
Li LING
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus,type 2;
Chronic diseases;
Health education
- From:
Chinese Journal of Geriatrics
2014;33(6):619-621
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of chronic diseases self-management model for the aged patients with type 2 diabetes mellitus in communities.Methods Patients with T2DM aged over 60 years and over in two communities in Baoding were selected:one as intervention community and the other as control community.The intervention community underwent the chronic diseases self management theory based education by expert,face to face consultation and patient communication,while the control community received general community management.The scores of self-efficacy were collected before the sessions and 3 months after the end of the sessions,and the effectiveness of the intervention was evaluated by the changes of scores,fasting blood-glucose and hemoglobin A1c (HbA1c) before and after the session.The pure increment level of scores of diabetes self-efficacy was higher in the intervention community than in the control community [(16.9 ± 5.3)scores vs.(0.4±1.3) scores,t=21.317,P＜0.01].Results All dimension values were also significantly higher in the intervention group than in control community (P＜ 0.01).The pure decrement level of fasting blood glucose (1.8 ± 1.7) ％ and HbA1c (0.7 ± 1.2) ％ after intervention was significantly higher in the intervention than in control community (t=6.096,P＜0.01 ;t=2.930,P＜0.05).Conclusions The chronic diseases self-management education may significantly improve patients' self-efficacy and decrease the level of blood-glucose and HbAlc.
