同伴互动支持模式在糖尿病患者自我管理中的应用

目的比较护士护理管理模式（NCM）与同伴互动支持模式（RPS）在糖尿病患者自我管理中的作用。方法选取174名2型糖尿病患者（糖化血红蛋白HbA1c大于等于7．5％）,随机分为NCM组和RPS组进行对照试验。比较两组6个月后的糖化血红蛋白（HbA1c）水平,胰岛素治疗方案,血压、口服药物依从性、糖尿病抑郁评分等。结果RPS组平均糖化血红蛋白由8．02％下降至7．73％,而NCM组从7．93％上升至8．22％。两组糖化血红蛋白的变化比较差异具有统计学意义（t=2．732,P〈0．05）。RPS组8例开始胰岛素治疗,NCM组1例（P〈0．05）。两组血压、药物依从性、糖尿病抑郁分数评分差异无统计学意义（P〉0．05）。结论同伴互动支持模式可以作为糖尿病患者自我管理的有效模式。

Clinical diabetes control with reciprocal peer support versus nurse care management

Objective To compare a reciprocal peer-support (RPS) program with nurse care management (NCM) in clinical diabetes control.Methods Choosing 174 type 2 diabetic patients in hospital,dividing them into NCM group and RPS group randomly.The primary outcome with 6-month changes in HbA1clevel,insulin therapy,and blood pressure and patience reports of medication adherence,diabetes-related support,and emotional distress were compared between the two groups.Results Mean HbA1c level decreased from 8.02％ to 7.73％ in the RPS group and increased from 7.93％ to 8.22％ in the NCM group.The difference in HbA1c change between groups was 0.58％ (t =2.732,P ＜ 0.05 ).Eight patients in the RPS group started insulin therapy,compared with 1 patient in the NCM group (P＜0.05).Groups did not differ in blood pressure,self-reported medication adherence,or diabetes-specific distress ( P ＞ 0.05 ),but the RPS group reported improvement in diabetes social support.Conclusions Reciprocal peer support holds promise as a method for diabetes care management.