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1.
目的:评价糖尿病自我管理健康教育项目实施的效果。 方法:按照随机对照试验研究设计,将112名自愿参加该项目的糖尿病病人随机分为干预组和对照组。采用协方差分析,比较基线时和6个月后2次问卷调查数据,观察60名干预组病人和52名对照组病人在项目实施6个月后在自我管理行为、自我效能、健康状况和卫生服务利用等方面的变化。 结果:与对照组比较,干预组在自我管理行为方面:6个月后“运动相关自我效能”、“疾病共性管理自我效能”、“总体自我效能”评分分别平均比对照组提高0.29、0.34、0.21分,差异均有统计学意义(P<0.05);干预组在空腹血糖水平、糖化血红蛋白水平方面分别平均比对照组多下降0.06 mmol/L、0.53,差异有统计学意义(P<0.05) 结论:门诊糖尿病自我管理健康教育项目6个月后可改善参加者的自我管理行为、自我效能和血糖水平。  相似文献   

2.
[目的]探讨实施多学科团队自我管理干预对社区冠心病病人的有效性。[方法]随机抽取西安市某社区卫生服务中心管辖范围下的6个社区冠心病病人作为干预组(72例),其余6个社区的冠心病病人作为对照组(72例)。干预组实施多学科团队自我管理干预,对照组仅接受社区常规健康教育,于干预前、干预3个月后应用慢性病自我效能量表、冠心病自我管理行为量表、生活质量量表(SF-36)评价干预效果。[结果]干预后3个月干预组自我效能、自我管理行为各维度得分均高于对照组(P0.05);干预组生活质量8个维度中的总体健康状况、生理职能、情感职能、精力、精神健康5个维度得分高于对照组(P0.05),但生理功能、躯体疼痛、社会功能3个维度得分两组比较差异无统计学意义(P0.05)。[结论]对社区冠心病病人实施多学科自我管理干预可以增强病人的自我效能,提高病人的自我管理水平,改善病人的生活质量。  相似文献   

3.
沈王琴 《全科护理》2012,(31):2883-2885
[目的]观察以认知为基础生活方式干预对社区高血压病病人自我管理疾病效果的影响。[方法]将76例社区高血压病病人分为观察组和对照组,每组38例,对照组采取常规干预措施,观察组采取以认知为基础的生活方式干预;干预3个月后,比较两组病人干预3个月后自我效能、自我管理行为情况以及干预前后身体各指标变化情况。[结果]观察组病人干预3个月后自我效能、自我管理行为情况评分高于对照组;观察组病人收缩压、舒张压、体重指数、腰围的变化优于对照组。[结论]以认知为基础的生活方式干预可以提高社区高血压病病人的自我效能、自我管理能力,并有效改善病人的健康状况。  相似文献   

4.
目的:探讨自我管理教育改善社区老年2型糖尿病患者血糖水平和自我效能的价值。方法:将103例社区老年2型糖尿病患者随机分为观察组54例和对照组49例。对照组予以常规社区护理干预,观察组在常规干预的基础上,予以自我管理教育。比较两组患者干预前和干预3个月后的空腹血糖、餐后2 h血糖、糖化血红蛋白,并运用糖尿病患者自我效能感量表进行自我效能评价。结果:观察组干预后的饮食管理、运动管理、药物管理、血糖监测、足部护理和急症护理效能评分、自我管理效能总得分均高于对照组(P0.05)。空腹血糖、餐后2 h血糖和糖化血红蛋白均低于对照组(P0.05)。结论:自我管理教育可以改善社区老年2型糖尿病患者血糖水平,提高自我效能感。  相似文献   

5.
目的探讨护理营养指导干预对慢性肾脏病患者自我管理及生活质量健康状况改善的影响。方法将确诊的慢性肾脏病需要进行腹膜透析的患者100例分为观察组和对照组各50例。对照组采取常规护理及慢性肾脏病健康教育,观察组在常规护理的基础上采用护理营养指导干预。比较两组干预前及干预后6个月患者的自我效能、自我管理行为和生活质量对慢性肾脏病患者的影响。结果干预6个月后两组患者自我管理行为评分明显高于干预前,观察组优于对照组(P0.05);两组患者的生活质量评分明显高于干预前,观察组优于对照组(P0.05);对照组自我效能与干预前评分(P0.05),观察组干预6个月后自我效能评分明显高于干预前(P0.05)。结论采用护理营养指导干预能有效提高患者的自我效能和患者自我管理行为及生活质量。  相似文献   

6.
张蝶  王芳  张敏  赵丹  蒋慧  唐婵 《护理研究》2014,(10):1209-1211
[目的]探讨远距离照护模式对门诊糖尿病病人自我管理水平的影响。[方法]选择2011年6月—12月符合纳入标准的门诊2型糖尿病病人,采用随机数字表法分为对照组和试验组;对照组给予糖尿病常规门诊护理,试验组在常规门诊护理的基础上实施远距离照护;分别于干预6个月和1年后采用糖尿病自我管理水平量表(CSO)对两组病人进行测评。[结果]干预后试验组病人自我管理水平明显提高,干预1年后的评分高于干预6个月后及干预前的评分(P0.05);干预6个月后、干预1年后试验组评分均高于对照组,差异有统计学意义(P0.05)。[结论]"远距离照护"的实施有利于干预前后提高2型糖尿病病人的自我管理水平。  相似文献   

7.
目的探讨动机访谈路线图干预对2型糖尿病患者自我管理及生活质量改善的影响。方法将确诊的2型糖尿病患者200例分为试验组和对照组各100例。对照组采取常规护理及糖尿病健康教育,试验组在常规护理的基础上采用动机访谈路线图进行干预。比较两组干预前及干预后6个月患者的自我效能、自我管理行为和生活质量。结果干预6个月后,两组患者自我管理行为评分、生活质量和自我效能得分均有所提高,且试验组明显高于对照组(P0.01或P0.05)。结论采用动机访谈路线图干预能有效提高患者的自我效能和自我管理行为及生活质量。  相似文献   

8.
目的 探讨医院-社区-家庭健康管理对老年高血压患者自我效能及自我管理能力的影响。方法 选取2018年1月~2020年1月天津市滨海人民医院所属幸福社区的老年高血压患者98例,以随机数字表法分为对照组和观察组各49例。对照组行社区常规健康管理,观察组行医院-社区-家庭健康管理,均干预6个月。比较两组干预前及干预6个月时自我效能及自我管理能力。结果 干预6个月,两组一般自我效能感量表(GSES)评分均高于干预前,且观察组高于对照组,差异有统计学意义(P0.05);两组自我管理能力量表评分均高于干预前,且观察组高于对照组,差异有统计学意义(P0.05)。结论 老年高血压患者采取医院-社区-家庭健康管理的效果较好,可提升患者自我效能,增强自我管理能力。  相似文献   

9.
[目的]对社区慢性阻塞性肺疾病(COPD)病人实施自我管理项目,探讨对病人自我管理能力的影响。[方法]在海口市整群抽取2个社区,从中随机选取1个社区的30例COPD病人为观察组,另外1个社区的30例COPD病人为对照组。对照组采用常规管理,观察组实施自我管理项目,制订自我管理计划并实施,采用COPD病人自我管理量表评价干预前后两组病人自我管理能力。[结果]干预后6周、3个月及12个月观察组自我管理量表5个维度得分明显高于对照组(P0.01)。[结论]自我管理项目能提高COPD病人在症状管理、日常生活管理、情绪管理、信息管理及自我效能方面的自我管理能力。  相似文献   

10.
目的:探讨对老年2型糖尿病患者实施自我管理教育的效果。方法:采用随机抽样的方法选择2010年2月~2011年3月在南通市妇幼保健院门诊就诊的60岁以上2型糖尿病患者80例,随机分为观察组和对照组各40例。对照组接受常规糖尿病教育项目,观察组在对照组基础上实施自我管理教育。于干预前和干预后6个月采用自我管理行为量表对患者进行评分。结果:观察组患者干预后6个月自我管理行为能力评分明显高于对照组(P<0.01)。结论:对老年2型糖尿病患者在常规教育基础上实施自我管理教育,可以提高患者自我管理能力,从而提高患者认知能力,改善生活质量。  相似文献   

11.
The aim of this study was to examine the effects of a self-efficacy program for persons with type 2 diabetes in Taiwan. A randomized controlled trial was designed (n = 145), with 72 participants in the intervention group and 73 in the control group. The participants were pretested to establish a baseline and then post-tests were undertaken 3 and 6 months after the baseline data were collected. The participants in the intervention group received the standard diabetes education program and an additional self-efficacy program. The scores for efficacy expectations, outcome expectations, and self-care activities had significantly increased in the intervention group at the 3 and 6 month follow-ups, when compared to those of the control group. A smaller proportion of the participants in the intervention group had been hospitalized or had visited an emergency room than in the control group at the 6 month follow-up. This study revealed that a self-efficacy program for diabetes was acceptable and effective in the short term in the self-management of persons with type 2 diabetes.  相似文献   

12.
目的:探讨个体化健康教育方案对高龄不孕症患者辅助生殖技术中自我管理的影响。方法:选取2018年1月—2020年12月在我科就诊的高龄不孕症患者200例,按随机数字表分为观察组(n=100)和对照组(n=100)。观察组采用个体化健康教育方案,对照组采用常规健康教育。观察并统计分析干预前和干预12周周期自我管理能力中遵医嘱治疗、定期检查、合理饮食、坚持运动及依从性5项评分、自我效能评定量表评分、医学应对问卷面对、回避、屈服评分及焦虑和抑郁负性情绪评分。结果 干预12周后,2组周期自我管理能力遵医嘱治疗、定期检查、合理饮食、坚持运动及依从性5项评分高于干预前(P<0.05); 且观察组5项评分均高于对照组(P<0.05)。干预后,2组自我对照效能评定量表评分干预前(P<0.05),且观察组评分高于对照组(P<0.05)。干预后,2组医学应对问卷各项维度评分中面对项评分明显高于干预前(P<0.05),回避、放弃项评分明显低于干预前(P<0.05),且观察组评分更优于对照组(P<0.05)。干预后,2组SAS、SDS评分明显低于干预前(P<0.05),且观察组评分低于对照组(P<0.05)。结论:采用个体化健康教育方案后可提高对高龄不孕症患者对生殖技术的基本正确,提高自我管理意识和自我效能,从而改善负性情绪,利于高龄不孕症提高妊娠率。  相似文献   

13.
BACKGROUND: In light of health disparities and the growing prevalence of chronic disease, there is a need for community-based interventions that improve health behaviors and health status. These interventions should be based on existing theory. OBJECTIVE: This study aimed to evaluate the health and utilization outcomes of a 6-week community-based program for Spanish speakers with heart disease, lung disease, or type 2 diabetes. METHOD: The treatment participants in this study (n = 327) took a 6-week peer-led program. At 4 months, they were compared with randomized wait-list control subjects (n = 224) using analyses of covariance. The outcomes for all the treatment participants were assessed at 1 year, as compared with baseline scores (n = 271) using t-tests. RESULTS: At 4 months, the participants, as compared with usual-care control subjects, demonstrated improved health status, health behavior, and self-efficacy, as well as fewer emergency room visits (p <.05). At 1 year, the improvements were maintained and remained significantly different from baseline condition. CONCLUSIONS: This community-based program has the potential to improve the lives of Hispanics with chronic illness while reducing emergency room use.  相似文献   

14.
目的 探究微视频结合行动导向教学对首次血液透析患者医学行为及自我效能的影响。方法 选择2018年1月至2021年4月在南通市第三人民医院血液净化中心进行首次血液透析的287例患者为研究对象,根据健康宣教的方式分为联合组157例与导向组130例,导向组施行行为导向的教学方式,联合组施行微视频结合行为导向的教学方式,对比两组患者干预前后自我管理能力(自我管理量表)、生活质量[肾脏疾病特异性调查表(KDQ)]、自我效能感[自我效能感量表(CPSS)]及满意度。结果 两组患者干预后合理饮食、水分及体质量控制、遵医服药、充足睡眠、正确对待疾病及自我监测能力等维度评分均上升,且干预后联合组患者上述自我管理能力维度评分均高于导向组(P<0.05);两组患者干预后躯体症状、疲劳、与他人关系及挫折等维度评分均上升,且干预后联合组患者上述生活质量维度评分均高于导向组(P<0.05);两组患者干预后疼痛应对、躯体功能及症状应对等维度评分均上升,且干预后联合组患者上述自我效能感维度评分均高于导向组(P<0.05);干预后联合组患者满意度高于导向组(P<0.05)。结论 微视频结合行动导向教学可提高首次血液透析患者自我管理能力与自我效能感,提高其生活质量,患者满意度更高。  相似文献   

15.
OBJECTIVE: To evaluate whether nurse-directed diabetes care reduced preventable diabetes-related urgent care/emergency room visits and hospitalizations in a minority population. RESEARCH DESIGN AND METHODS: Diabetic patients who receive care in a county public health clinic were randomly selected for a Diabetes Managed Care Program (DMCP) in which a specially trained nurse followed detailed treatment algorithms to provide diabetes care for 1 year. Preventable diabetes-related urgent care/emergency room visits and hospitalizations for these patients incurred during the intervention year and the year before enrollment were compared. Preventable diabetes-related causes were defined as metabolic (diabetic ketoacidosis, hyperglycemia, or hypoglycemia) or infection (cellulitis, foot ulcer, osteomyelitis, fungal infection, or urinary tract infection). RESULTS: Use of the urgent care/emergency room and hospitalizations during the intervention year and the year prior were available for 331 patients who completed the DMCP intervention. There were 95 [corrected] total urgent care/emergency room visits and hospitalizations in the year before entering the DMCP and 52 [corrected] during the DMCP year, a 45[corrected]% reduction. Preventable diabetes-related episodes were far fewer. During the prior year, 14 patients made 15 urgent care/emergency room visits and 5 patients incurred 6 hospitalizations. During the DMCP year, four different patients made five emergency room/urgent care visits and one other patient was hospitalized. Preventable diabetes-related use was significantly (P < 0.001) lower during the intervention year compared with the prior year. Total charges for urgent care/emergency room visits and hospitalizations only (not other charges related to diabetes care) during the year before entering the DMCP were $129,176 compared with $24,630 during the DMCP year. CONCLUSIONS: When compared with usual care, nurse-directed diabetes care resulted in significantly fewer urgent care/emergency room visits and hospitalizations for preventable diabetes-related causes. Policy makers seeking to improve diabetes care and conserve resources should seriously consider adopting this approach.  相似文献   

16.
目的探讨支气管哮喘管理APP对患者自我管理能力及护理质量的影响。方法选取2018年1月—2019年3月医院收治的108例支气管哮喘稳定期患者为研究对象,按照组间均衡可比的原则分为观察组和对照组,各54例。对照组进行常规健康教育和随访,观察组采用支气管哮喘管理APP对患者进行健康教育和随访。3个月后,比较两组患者自我管理能力、哮喘控制情况、哮喘发作次数、急诊就诊率、治疗费用以及患者满意度。结果干预后,观察组自我管理能力中的避免诱发因素、病情监测、发作症状的识别与处理、用药情况、复诊情况5个维度得分以及总分均高于对照组;观察组哮喘控制情况优于对照组。观察组哮喘发作次数、急诊就诊率、治疗费用均低于对照组;观察组对护理质量满意度评分高于对照组;组间比较差异均有统计学意义(P<0.05)。结论运用支气管哮喘管理APP对支气管哮喘稳定期患者进行个体化的疾病管理,能有效提高其自我管理能力,帮助患者更好地控制病情、减少发作次数,对于节约医疗资源、提高护理质量有积极作用。  相似文献   

17.
The purpose of this study is to evaluate the effectiveness of a group visit intervention in comparison with the usual care for elderly patients with type 2 diabetes in a community. We randomized 109 community elderly patients with type 2 diabetes to the intervention group (n = 55) of monthly group visits sessions or to a control group (n = 54) of usual care. Repeated measures analysis of variance was used to compare the changes in HbA1C, diabetes knowledge, self-efficacy, and self-management behavior in both groups. At the 6-month follow-up, although no significant difference was observed between the groups regarding HbA1C (p = 0.272). Diabetes knowledge, self-efficacy and self-management scores were higher in patients in the intervention group than that in the control group (p < 0.05). The group visits model increased diabetes knowledge and self-efficacy and improved patients’ self-management behavior. The model was found suitable for helping these elderly patients with type 2 diabetes achieve effective self-management.  相似文献   

18.
目的通过短信平台定期向糖尿病患者发送自我管理及健康教育内容,以增强患者的自我效能,改善其自我管理能力。方法便利选取2012年3月至2013年3月解放军第117医院内分泌科收治的2型糖尿病患者105例,按随机数字表法分为短信干预组53例和对照组52例,两组患者住院期间进行相同的健康教育,出院后对照组用常规方法进行健康教育,短信干预组由专科护士通过短信平台向患者定期发送短信,内容主要为自我管理及健康教育,比较两组患者出院后6个月的自我管理行为及自我效能。结果两组患者出院前自我管理行为及自我效能得分差异均无统计学意义(均P0.05);出院后6个月,短信干预组在运动锻炼、认知症状管理、与医生沟通等方面的自我管理得分以及在症状管理及疾病共性管理等方面的自我效能得分均高于对照组,差异均有统计学意义(均P0.05)。结论短信平台教育能提高2型糖尿病患者的自我管理能力,增强其自我管理效能。  相似文献   

19.
目的探讨基于自我调节理论的干预对COPD患者自我管理行为及应对方式的影响。方法采用方便抽样法,选取2019年1—6月在驻马店市中心医院住院的COPD患者为研究对象,随机分为对照组(n=45)和试验组(n=48)。对照组采取COPD患者常规护理和健康教育,试验组在常规护理的基础上采用基于自我调节理论制定的干预方案。采用COPD患者自我管理量表、简易应对方式量表评价干预效果。结果干预3个月后试验组患者症状管理(31.74±3.62)分、日常生活管理(46.17±5.48)分、情绪管理(39.55±4.49)分、信息管理(23.65±4.21)分、自我效能(30.00±4.37)分,均高于对照组,差异有统计学意义(t值分别为5.829、3.613、3.208、3.002、2.762;P<0.01),干预后试验组患者积极应对方式(1.89±0.52)分,对照组(1.66±0.49)分,差异有统计学意义(t=2.192,P<0.05)。结论基于自我调节理论构建的干预方案能够提高COPD患者的自我管理行为,促使患者采用积极的应对方式应对疾病。  相似文献   

20.
Latinos, the fastest growing minority group in the United States, are among the hardest hit by diabetes. Among Latinos, Mexican Americans have the highest rate (23.9%) of diabetes. Good self-management can improve glycemic control and decrease diabetes complications but can be challenging to achieve. The purpose of this study was to test the feasibility and examine the effects of a culturally tailored intervention for Mexican Americans with type 2 diabetes on outcomes of self-management. The study used a pretest/posttest control group design with 10 participants in each group (N = 17). Feasibility and acceptability of the tailored diabetes self-management program was assessed by examining ease of recruitment and retention rates. The behavioral outcomes of self-efficacy, diabetes knowledge and self-care measures, and the biologic outcomes of weight, body mass index, HbA1C, and blood glucose were used to examine intervention effectiveness. Successful recruitment of participants came from personal referrals from providers or the promotora. Retention rates were 100% for the intervention group and 80% for the control group. Findings suggest that the intervention had a positive clinical and statistical effect on diabetes knowledge, weight, and body mass index. Improvements were also noted in self-efficacy scores, blood glucose, and HbA1C, but these changes did not reach statistical significance. A culturally tailored diabetes self-management program may result in improved outcomes for Mexican Americans with type 2 diabetes.  相似文献   

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