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[糖尿病自我效能感的健康自我管理分析]

[Analysis of health self-management for diabetes self-efficacy].

作者信息

Liu Yalan, Ding Xianbin, Jiang Yi, Zhang Chunhua, Mao Deqiang, Shen Zhuozhi, Qi Li, Lü Xiaoyan, Lu Junjia, Wang Tingting

机构信息

School of Public Health and Management; Research Center for Medicine and Social Development; Innovation Center for Social Risk Governance in Health, Chongqing Medical University, Chongqing 400016, China.

Department of Non-communicable Disease Prevention and Control, Chongqing Center for Disease Prevention and Control, Chongqing 400042, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2015 Aug;40(8):886-90. doi: 10.11817/j.issn.1672-7347.2015.08.010.

DOI:10.11817/j.issn.1672-7347.2015.08.010
PMID:26333497
Abstract

OBJECTIVE

To evaluate the effect of health self-management on self-efficiency of diabetes patients.

METHODS

A total of 184 eligible and voluntary diabetes patients were recruited for 6 consecutive weeks of knowledge and skills intervention, and interviewed with questionnaire by diabetes self-efficacy scale (DSES) before and after the intervention. The changes in self-efficiency were compared with two paired sample McNemar test.

RESULTS

After the intervention, the total scores of self-efficiency on diet, medication, blood sugar monitoring, foot care and complications management were all increased significantly compared with those before the intervention (P<0.05).

CONCLUSION

The intervention model of health self-management for self-efficiency in diabetes patients is effective, and the quality of patients' life can be improved.

摘要

目的

评估健康自我管理对糖尿病患者自我效能的影响。

方法

共招募184名符合条件且自愿参与的糖尿病患者,进行连续6周的知识与技能干预,并在干预前后采用糖尿病自我效能量表(DSES)进行问卷调查。采用两个配对样本McNemar检验比较自我效能的变化。

结果

干预后,饮食、用药、血糖监测、足部护理及并发症管理方面的自我效能总分与干预前相比均显著提高(P<0.05)。

结论

糖尿病患者自我效能的健康自我管理干预模式有效,可提高患者生活质量。

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