系统性自我管理教育对社区2型糖尿病患者生命质量及焦虑抑郁情绪的影响

目的:探讨系统性自我管理教育对社区2型糖尿病患者生命质量及焦虑抑郁情绪的影响.方法:2009年2月～2010年7月随机选取长沙市10个社区,干预组与对照组各5个,共纳入2型糖尿病患者248人为研究对象,干预组予以系统性自我管理教育,对照组予以常规社区教育.采用中文版糖尿病特异性生命质量测定量表(A-DQOL)、焦虑自评...

Effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities

ObjectiveTo explore the effect of systematic self-management education on quality of life, anxiety and depression of patients with Type 2 diabetes in communities. MethodsA total of 248 patients with Type 2 diabetes from 10 communities of Changsha from February 2009 to July 2010 were randomized into an intervention group and a control group. The intervention group received systematic self-management education, while the controls received routine community education. The quality of life, anxiety and depression were measured by adjusted diabetes-specific quality of life scale (A-DQOL), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) respectively. ResultsThe quality of life, morbidity of anxiety or depression of the intervention and the control group were comparable at the baseline(P＞0.05). One and half year later, there was significant difference between the two groups (P<0.01). Compared with the control group, the intervention group got better quality of life (P<0.01), less morbidity of anxiety (8.94% vs.44.4%, P<0.01) and depression (23.58% vs. 56.00%, P<0.01). ConclusionSystematic self-management education can effectively improve the quality of life, reduce the level of anxiety and depression of patients with Type 2 diabetes in communities, which deserves further generalization.