论文部分内容阅读
目的观察梧州市社区医务人员对2型糖尿病患者开展的自我管理教育的效果,旨在完善指导方案,帮助糖尿病患者建立良好的生活方式。方法随机抽取梧州市7个社区卫生服务中心已建档的30岁以上的2型糖尿病患者350人作为研究对象,社区全科医生对患者就饮食、运动、血糖监测、药物治疗、足部护理进行自我管理模式教育,教育课程一共12次,每2周一次,采用问卷调查记录自我管理教育前后糖尿病患者对饮食、运动、血糖监测、药物治疗、足部护理的接受情况,采用χ2检验比较接受率。结果糖尿病患者接受自我管理教育后,对限制碳水化合物、低脂饮食、控制体重、多吃膳食纤维和多吃水果的饮食建议接受率明显提高(P<0.05);对适度、适当频率、适当开展的运动建议、对血糖监测、药物治疗建议接受率显著提高(P<0.05);对部分足部护理建议接受情况显著改善(P<0.05)。结论梧州市社区医务人员对2型糖尿病患者开展的自我管理教育对帮助2型糖尿病患者建立良好的生活方式产生了积极影响。
Objective To observe the effect of self-management education of community medical staff in type 2 diabetes patients in Wuzhou city, and to improve the guidance program to help people with diabetes establish a good life style. Methods A total of 350 type 2 diabetic patients over 30 years old were enrolled in 7 community health service centers of Wuzhou city. The general practitioners of the community conducted a survey on diet, exercise, blood glucose monitoring, medication and foot care Self-management mode Education and education courses were conducted 12 times, once every two weeks. The questionnaires were used to record the acceptance of diabetes, diet, exercise, blood glucose monitoring, medication and foot care before and after self-management education. The χ2 test was used to compare the acceptance rate . Results After self-management education, diabetic patients received significantly higher acceptance rates for restricting carbohydrates, low-fat diet, weight control, eating more dietary fiber and eating more fruit (P <0.05); appropriate and appropriate frequency (P <0.05). The acceptance of partial foot care recommendations was significantly improved (P <0.05). Conclusion Self-management education for community-based medical staff in type 2 diabetes patients in Wuzhou City has a positive impact on setting up a good life style in patients with type 2 diabetes.