延续性自我管理教育在糖尿病肾病患者康复中的应用

目的探讨延续性自我管理教育在糖尿病肾病患者康复过程中的作用。方法选取住院糖尿病肾病Ⅲ期患者110例随机分为干预组和对照组,2组均接受常规的健康教育,干预组在此基础上再接受综合管理教育。观察出院后6个月、12个月、18个月2组糖尿病肾病患者疾病知识知晓情况、糖尿病肾病危险因素控制情况。结果出院后6个月、12个月、18个月,干预组糖尿病肾病康复知识得分明显高于对照组(P<0.05),且干预组对多种糖尿病肾病危险因素的控制均好于对照组(P<0.05);干预组出院12个月、18个月的尿蛋白含量控制达标率明显高于对照组(P<0.01)。结论延续性自我管理教育有助于提高患者健康水平和疾病自我管理能力,是一种安全、有效、依从性高的疾病康复模式。

Application of continuous self-management education in the rehabilitation of patients with diabetic nephropathy

Objective To explore the effect of continuous self-management education on the rehabilitation of patients with diabetic nephropathy.Methods 110 patients with type Ⅲ diabetic nephropathy were selected and randomly divided into intervention group and control group.Both groups were conducted with conventional health education,and the intervention group was conducted with additional comprehensive management education.Conditions such as the awareness of knowledge on diabetic nephropathy and the regulation of risk factors for diabetic nephropathy were observed and compared between two groups in the time points of 6 months,12 months and 18 months after discharging from hospital.Results Scores of knowledge on diabetic nephropathy in the intervention group were significantly higher than control group at the time points of 6 months,12 months and 18 months after discharging from hospital(P<0.05),and the conditions of regulation of the risk factors for diabetic nephropathy in the intervention group were better than the control group in all the time points(P<0.05);the attainment rates of regulation of urine protein in the intervention group were significantly higher than the control group in the time points of 12 months and 18 months after discharging from hospital(P<0.01).Conclusion Continuous self-management education,as a safe,effective and high compliance rehabilitation modality,is helpful to improve the patients′ health levels and the ability of self-management for disease.