病友支持团队管理在2型糖尿病患者居家自我管理中的应用

目的：探讨病友支持团队管理在2型糖尿病患者居家自我管理中的应用效果。方法：将100例居家2型糖尿病患者随机分为对照组与实验组，每组各50例，两组均进行常规的糖尿病知识教育和饮食运动指导，实验组在此基础上加入病友团队支持教育。观察并比较两组患者干预前及干预后6个月的自我管理活动、自我效能、糖化血红蛋白（HbA1c）、体质量指数（BMI）、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖的变化。结果：干预后实验组患者的自我管理活动、自我效能、HbA1c、BMI、空腹状态下腰围、血脂、空腹血糖、餐后2h血糖指标优于对照组，差异有统计学意义（P＆lt;0.05）。结论：病友团队支持教育能有效提高居家2型糖尿病患者自我管理行为，增强自我效能感，改善相关代谢指标。

The effect of applying reciprocal peer support to type 2 diabetics of home self-management

Objective：To investigate the effect of reciprocal peer support in self-management of patients with type 2 diabetes. Methods：Totally 100 patients with type 2 diabetes were enrolled and randomly divided into control group （n=50） and experimental group （n=50）. Both groups were subjected to conventional education on diet and exercise, while the experimental group was added with＆quot;reciprocal peer support＆quot;supporting education. The two groups were compared in terms of self-care activities, self-efifcacy, glycated hemoglobin （HbA1c）, body mass index （BMI）, waistline in fasting state, blood lipids, fasting glucose and 2h postprandial blood glucose before the intervention and six months later. Results：The self-care activities, self-efifcacy, HbA1c, BMI, waistline, blood lipids, fasting glucose, 2h postprandial blood glucose of the experimental group were signiifcantly better than those of the control group. Conclusion：Reciprocal peer support can improve self-management behaviors of type 2 diabetic patients, enhance their self-efifcacy and promote their metabolic indexes.