自我效能理论在代谢综合征患者血糖控制中的应用

目的探讨自我效能理论对代谢综合征患者血糖控制的影响。方法选取100例代谢综合征高血糖患者按照随机、开放、对照、平行方法分为对照组与实验组各50例，对照组给予内分泌常规治疗，实验组在常规治疗的基础上进行增强自我效能健康宣教，比较两种方法对患者血糖控制的影响。结果3个月后实验组的自我效能评分、糖化血红蛋白及空腹血糖的控制优于对照组（ P＜0.01或＜0.05）；两组患者餐后2 h血糖控制差异无统计学意义（ P＞0.05）。结论在代谢综合征高血糖患者治疗过程中应用自我效能理论，可以有效改善血糖控制。

Self-efficacy theory applied in glycemic control of metabolic syndrome patients

Objective To investigate the effects of self-efficacy theory on glycemic control in patients withmetabolic syndrome.Methods One hundred metabolic syndrome patients with hyperglycemia were divided into thecontrol group and the experimental group by randomly , open, controlled, parallel method,the two groups receivedregular endocrinology medicine treatment .In addition,the experimental group received health education which basedon self-efficacy theory.The effects of the two methods on glycemic control were compared .Results The self-efficacyscores,glycated hemoglobin and fasting blood glucose control in the experimental group were better than the controlgroup after 3 months（P ＆lt;0.01 or ＆lt;0.05）;The 2-hour postprandial blood glucose control was not significantly differ -ent between two groups（P ＆gt;0.05）.Conclusion Self-efficacy theory applied in metabolic syndrome patients can ef -fectively improve glycemic control.