Qian Y, Wang L, Chen H, Dong Y Q, Liu J
Department of Health Promotion, Wuxi Center for Disease Control and Prevention, Wuxi 214023, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Apr 6;54(4):406-410. doi: 10.3760/cma.j.cn112150-20190329-00229.
To assess the effectiveness of peer-supported diabetes self-management group intervention and explore a community-based diabetes health management model. From September to December in 2016, patients with type 2 diabetes were recruited from 6 streets (townships) in Binhu and Xishan district of Wuxi, Jiangsu Province. According to a structured diabetes self-management course, guidance was provided by community health workers and peer volunteers. Self-management group intervention was led by type 2 diabetes patients. A self-control design was used to collect information on self-management behavior, fasting blood glucose, and health care utilization at baseline and after 4-month intervention, and compare the difference of these indicators before and after the intervention. Compared with the baseline, 147 participants aged from 30 to 80 years old had more increases in proportions of salt control (78.2% vs 60.5%, 0.001) and oil control (79.6% vs 58.5%, 0.001) in daily diet. The (50) ((25), (75)) of scores of symptom management and consultation list increased from 6 (0, 11) and 0 (0, 2) to 9 (4, 13) and 1 (0, 2) (0.05) after 4-month intervention. Fasting blood glucose significantly decreased from (8.8±2.9) mmol/L at baseline to (7.6±1.9) mmol/L and the control rate of blood glucose significantly increased from 29.3% to 44.2% (0.05) after 4-month intervention. The proportion of outpatient visited decreased from 42.2% to 12.9% and the proportion of hospitalized decreased from 10.2% to 4.1% (0.05) after 4-month intervention. Peer-supported diabetes self-management group intervention could effectively improve behavior and blood glucose control of patients with type 2 diabetes.
评估同伴支持的糖尿病自我管理小组干预的效果，并探索基于社区的糖尿病健康管理模式。2016年9月至12月，从江苏省无锡市滨湖区和锡山区的6个街道（乡镇）招募2型糖尿病患者。根据结构化的糖尿病自我管理课程，由社区卫生工作者和同伴志愿者提供指导。自我管理小组干预由2型糖尿病患者主导。采用自身对照设计，收集基线和4个月干预后的自我管理行为、空腹血糖和医疗保健利用情况的信息，并比较干预前后这些指标的差异。与基线相比，147名年龄在30至80岁之间的参与者日常饮食中盐控制比例（78.2%对60.5%，P<0.001）和油控制比例（79.6%对58.5%，P<0.001）有更多增加。4个月干预后，症状管理和咨询清单得分的中位数（四分位数间距）从6（0，11）和0（0，2）增加到9（4，13）和1（0，2）（P<0.05）。空腹血糖从基线时的（8.8±2.9）mmol/L显著降至（7.6±1.9）mmol/L，血糖控制率从29.3%显著提高到44.2%（P<0.05）。4个月干预后，门诊就诊比例从42.2%降至12.9%，住院比例从10.2%降至4.1%（P<0.05）。同伴支持的糖尿病自我管理小组干预可有效改善2型糖尿病患者的行为和血糖控制。
