目的：探讨糖尿病自我管理方法在社区老年2型糖尿病患者中的应用效果。方法在我市选择264例社区2型糖尿病患者，随机分为干预组和对照组。干预组进行自我管理；对照组则采用常规的管理方法。结果干预前后干预组的空腹血糖、餐后2h血糖及糖化血红蛋白的均方差分别为(1.58±1.29)mmol/L、(2.52±2.64) mmol/L、(1.75±1.99)%，自我效能6个维度及总得分的均方差分别为(5.3±4.3)、(4.6±3.8)、(1.9±1.1)、(3.4±2.1)、(11.3±3.2)、(4.8±1.2)、(31.3±1.7)，对照组的三种血糖监测指标均方差分别为(0.79±1.09)mmol/L、(1.13±1.90)mmol/L、(0.53±0.68)%，自我效能6个维度及总得分的均方差分别为(0.6±1.2)、(0.2±0.2)、(0.3±0.2)、(1.3±1.0)、(4.3±2.9)、(1.5±1.3)、(8.2±1.1)。干预前后两组各血糖监测指标及自我效能的改变量间的差异具有统计学意义，且干预组改善较为明显。结论糖尿病的自我管理方法对提高糖尿病患者自我效能有明显效果，有助于改善血糖的控制。%Objective To evaluate the intervention effects of the self-management model on Type 2 diabetes patients.Methods 264 patients with Type 2 diabetes were randomized into intervention group and control group. Intervention group guides the patients to self management; The control group use the conventional management method.Results Before and after the intervention, the mean square error of fasting blood glucose, 2h postprandial blood glucose, and glycosylated hemoglobin of intervention group are(1.58±1.29)mmol/L、(2.52±2.64)mmol/L、(1.75±1.99)%,the mean square error of the scores of of intervention group in six dimensions and the total of diabetesself—efficacy scale are (5.3±4.3)、(4.6±3.8)、(1.9±1.1)、(3.4±2.1)、(11.3±3.2)、(4.8±1.2)、(31.3±1.7). the mean square error of fasting blood glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin of control group are(0.79±1.09) mmol/L、(1.13±1.90) mmol/L、(0.53±0.68) %,the mean square error of the scores of of control group in six dimensions and the total of diabetesself-efficacy scale are(0.6±1.2)、(0.2±0.2)、(0.3±0.2)、(1.3±1.0)、(4.3±2.9)、(1.5±1.3)、(8.2±1.1). Conclusion The differences of the blood sugar monitoring indicators and self-efficacy between the two groups before and after intervention are statistically significant, and the intervention group improved more obviously.
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