同伴互动支持式管理对糖尿病患者自我效能、自我管理以及生活质量的影响

目的：探究同伴互动支持式管理对糖尿病患者自我效能、自我管理以及生活质量的影响。方法回顾性研究2013年7月至2015年2月来我院就诊的226例2型糖尿病患者的临床资料。对照组患者给予护士管理模式( NCM)，观察组实施同伴互动支持管理模式( RPS)。在进行护理干预之前和护理干预4周、8周之后分别对两组患者进行糖尿病管理自我效能表，自我管理技能的评分和糖尿病患者生活质量特异性量表评分。结果对照组在干预8周后，饮食和足部护理方面的差异具有统计学意义( P<0.05)。而观察组的饮食和足部管理、医疗控制、运动和自我效能感总分在4周和8周时均明显高于干预前和同期的对照组，差异具有统计学意义( P<0.05)。对照组患者在干预8周后，在运动、自我血糖检测、足部护理方面差异具有统计学意义( P<0.05)。观察组患者在干预4周和8周时，饮食、运动、自我血糖检测、足部护理、遵医嘱用药方面和总分均高于干预前，且差异具有统计学意义(P<0.05)。干预4周和8周后，对照组患者在社会关系方面评分差异具有统计学意义(P<0.05)。观察组患者在心理/精神、生理、治疗、社会关系和DSQL总分与干预前和同期对照组相比均具有统计学意义( P<0.05)。结论同伴互动支持式管理可以提高糖尿病患者自我效能、自我管理能力以及生活质量。

The influence of peer interaction support management on self-efficacy,self-man-agement and quality of life of patients with diabetes

Objective To explore the effect of peer support management on the self-efficacy, self-manage-ment and quality of life of patients with diabetes. Methods The clinical data of 226 patients with type 2 diabetes who were treated in our hospital from July 2013 to February 2015 in our hospital were retrospectively studied. The control group were treated with nurse management model ( NCM) , while the observation group was treated with the peer inter-action support management model ( RPS) . Before and after nursing intervention for 4 weeks and 8 weeks, the diabetes management self-efficacy scale, self-management skills and quality of life of patients with diabetes mellitus ( DSQL) of the patients of the two groups were scored. Results After 8 weeks' intervention, the differences in terms of diet and foot care of the control group were statistically significant (P<0. 05) . The diet and foot management, medical control, ex-ercise self-efficacy sense score of the observation group at 4 weeks and 8 weeks was significantly higher than that before intervention and than that of the control group at the same period, and the differences were statistically significant ( P<0. 05) . After 8 weeks of intervention, the differences in the movement, self blood glucose testing, and foot care of the control group were statistically significant (P<0. 05) . In terms of the diet, movement, self blood glucose testing, foot care, drug-taking and total scores of the observation group 4 weeks and 8 weeks after intervention were significantly higher than that before intervention, and the differences were statistically significant (P<0. 05) . After 4 weeks' and 8 weeks' intervention, there were statistically significant differences in terms of social relations for the control group ( P<0. 05) . The psychological, physiological, treatment, social relationship and the total score of DSQL of the patients of the observation group were statistically significant than that before the intervention and than that of the control group at the same period ( P<0. 05 ) . Conclusions The peer interaction support management can improve the self-efficacy, self-management and quality of life of patients with diabetes.