同伴支持对社区2型糖尿病患者胰岛素注射依从性影响研究(1)
[摘要] 目的 探討同伴支持对社区2型糖尿病患者胰岛素注射依从性和生活质量的影响。 方法 选取2014年6月～2016年1月在我院内科住院及门诊治疗的需要使用胰岛素治疗的96例2型糖尿病患者作为研究对象，随机分为对照组和研究组，每组48例。对照组患者采用常规的健康教育和发放健康教育资料，而研究组则在对照组的基础上给予同伴支持干预。于干预前和干预3个月后检测两组患者的血糖指标，并采用调查问卷调查两组患者胰岛素注射依从性。于干预前和干预6个月后采用糖尿病自我管理行为量表和糖尿病生命质量量表(ADQOL)评价两组患者的自我管理行为和生活质量。 结果 研究组患者干预3个月后FPG、2hPBG和HbA1C分别为(7.42±1.46)mmol/L、(9.43±1.52)mmol/L和(7.31±1.18)%，均显著低于对照组的(8.25±1.69)mmol/L、(11.24±2.08)mmol/L和(8.52±1.32)%，两组间比较差异有统计学意义(P<0.05)；研究组患者干预3个月后的胰岛素注射依从性率为89.58%，显著高于对照组的72.92%，两组间比较差异有统计学意义(P<0.05)；研究组患者干预6个月后的自我管理行为和生活质量评分分别为(54.25±2.12)分和(96.54±12.74)分，均显著高于对照组的(48.78±2.38)分和(82.37±11.65)分，两组间比较差异有统计学意义(P<0.05)。 结论 同伴支持可有效提高2型糖尿病患者胰岛素注射依从性和自我管理水平，控制患者的血糖水平，改善患者的生活质量，值得在社区推广应用。
[关键词] 同伴支持；2型糖尿病；胰岛素；依从性
[中图分类号] R531.3 [文献标识码] A [文章编号] 2095-0616(2017)12-140-04
Impact of compliance of insulin injection in patients with type 2 diabetes accepted with peer support
LIN Qundai1 CHEN Yanfen2 XIN Yanbin3 CHEN Yongfeng2
1.Department of Nursing，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China；2.Department of Medical，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China；3.Obstetrics and Gynecology Department，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China
[Abstract] Objective To discuss the impact of compliance of insulin injection in patients with type 2 diabetes accepted with peer support. Methods 96 cases type 2 diabetes patients with insulin treatment in our hospital from June 2014 to January 2016 were randomly selected and divided into control group and study group with 48 cases in each.Patients in control group were treated with conventional health education，and patients in study groups were treated with peer support on the basic of control group.The levels of indexes related to plasma glucose before and after 3 months intervention，investigate the compliance of insulin injection in two groups before and after 3 months intervention were detected.The self-management behavior and quality of life with two group before and after 6 months were compared. Results The levels of FPG，2hPBG and HbA1C of study group were(7.42±1.46)mmol/L，(9.43±1.52)mmol/L and (7.31±1.18)% after 3 months intervention，which were lower than those of control group，and the differences between the two groups were statistically significant(P<0.05).The compliance rate was 89.58% in study group after 3 months intervention，while control group was 72.92%，and the difference with two groups were statistically significant(P<0.05).The score of self-management behavior and quality of life were(59.25±2.48)and(96.54±12.74)after 6 months intervention，which were all higher than those in control group，and the differences with two groups were statistically significant(P<0.05). Conclusion Type 2 diabetes apply to peer support can improve the compliance of insulin injection and self-management behavior，control the blood sugar level，and improve the quality of life.It is worthy of community promotion., http://www.100md.com(林群带?陈燕芬?辛艳彬?陈勇锋)
[关键词] 同伴支持；2型糖尿病；胰岛素；依从性
[中图分类号] R531.3 [文献标识码] A [文章编号] 2095-0616(2017)12-140-04
Impact of compliance of insulin injection in patients with type 2 diabetes accepted with peer support
LIN Qundai1 CHEN Yanfen2 XIN Yanbin3 CHEN Yongfeng2
1.Department of Nursing，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China；2.Department of Medical，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China；3.Obstetrics and Gynecology Department，Zhongxin Town Center of Zengcheng District，Guangzhou 511365，China
[Abstract] Objective To discuss the impact of compliance of insulin injection in patients with type 2 diabetes accepted with peer support. Methods 96 cases type 2 diabetes patients with insulin treatment in our hospital from June 2014 to January 2016 were randomly selected and divided into control group and study group with 48 cases in each.Patients in control group were treated with conventional health education，and patients in study groups were treated with peer support on the basic of control group.The levels of indexes related to plasma glucose before and after 3 months intervention，investigate the compliance of insulin injection in two groups before and after 3 months intervention were detected.The self-management behavior and quality of life with two group before and after 6 months were compared. Results The levels of FPG，2hPBG and HbA1C of study group were(7.42±1.46)mmol/L，(9.43±1.52)mmol/L and (7.31±1.18)% after 3 months intervention，which were lower than those of control group，and the differences between the two groups were statistically significant(P<0.05).The compliance rate was 89.58% in study group after 3 months intervention，while control group was 72.92%，and the difference with two groups were statistically significant(P<0.05).The score of self-management behavior and quality of life were(59.25±2.48)and(96.54±12.74)after 6 months intervention，which were all higher than those in control group，and the differences with two groups were statistically significant(P<0.05). Conclusion Type 2 diabetes apply to peer support can improve the compliance of insulin injection and self-management behavior，control the blood sugar level，and improve the quality of life.It is worthy of community promotion., http://www.100md.com(林群带?陈燕芬?辛艳彬?陈勇锋)