摘要
目的：探讨目标设定法在提高社区糖尿病患者自我管理能力中的应用效果。方法2013年1月起成立目标支持小组,帮助63例社区糖尿病患者设定健康目标,包括饮食控制、规律锻炼、遵医嘱服药、血糖监测、足部护理和预防及处理高血糖、低血糖6个方面。开展健康知识讲座、随访等措施帮助患者完成既定目标,干预3个月后观察患者的目标完成情况、自我管理水平和血糖控制情况。结果患者在饮食控制、规律锻炼、遵医嘱服药、血糖监测、足部护理和预防及处理高血糖、低血糖6个方面的目标设定完成率分别为88.89%,90.48%,100.00%,54.54%,100.00%,80.00%。患者的自我管理能力总分由（81.68±19.36）分提高到（97.11±15.11）分,差异有统计学意义（t=4.562,P〈0.05）。干预3个月后患者空腹血糖平均为（9.22±0.23） mmol/L,餐后2 h血糖为（9.31±0.90） mmol/L,糖化血红蛋白为（7．02±1.49）%,均低于干预前,差异有统计学意义（t 值分别为1.219,2.520,4.887；P 〈0.05）。结论目标设定法能够帮助社区糖尿病患者提高自我管理能力,严格控制血糖水平,值得推广使用。
Objective To investigate the effects of goal-setting method for community diabetes patients′self-management capabilities. Methods Since January 2013 we established target support groups to help people set goals, which included diet control, regular exercise, prescribed medication, blood glucose monitoring, foot care and prevention and treatment of hyperglycemia and hypoglycemia. We conducted health lectures, follow-up and other measures to help patients achieve the goals, and observed the level of target completion, self management and glycemic control after 3 months. Results The constitution of six most complete goals setting were diet control 88. 89%, regular exercise 90. 48%, prescribed medication 100. 00%, blood glucose monitoring 54. 54%, foot care 100. 00%, prevention and treatment of hyperglycemia and hypoglycemia 80. 00%;self-management skills increased from the total score （81. 68 ± 19. 36） to （97. 11 ± 15. 11）, and the differences were statistically significant （t =4. 562,P 〈0. 05）. Compared with before the intervention, the fasting blood glucose after 3 months′ intervention was （ 9. 22 ± 0. 23 ） mmol/L, postprandial blood glucose （9.31 ±0.90）mmol/L, and glycosylated hemoglobin （7. 02 ± 1. 49）%, which were statistically significant （t=1. 219,2. 52,4. 887;P〈0. 05）. Conclusions The goal setting, which can ameliorate diabetes patients′self-management skills and control the blood glucose level, is worth of clinical promotion.
出处
《中华现代护理杂志》
2015年第15期1789-1792,共4页
Chinese Journal of Modern Nursing
