家属同步管理对2型糖尿病患者家庭功能及血糖的影响

摘要

Objective: To explore the effect of caregiver synchronous management on family function and blood glucose control among patients with type 2 diabetes. Methods: Totally 40 hospitalized patients with type 2 diabetes and their caregivers were recruited and received health education, out-patient follow-up and telephone follow-up. Knowledge level and family function of patients and their caregivers and patients' HbA1c level were tested during hospitalization, 3 and 6 months after discharge to compare the difference of different stages. Results: Knowledge level and family function of patients and caregivers and patients' HbA1c all improved significantly after intervention (P<0.05). Repeated measures analysis of variance showed the main time effect of family function and all dimensions of patients and caregivers had statistical significance (P<0.05). Conclusion: Caregiver synchronous management could improve the knowledge level and family function of patients with type 2 diabetes and their caregivers and patients' HbA1c.%目的 :观察家属同步管理对2型糖尿病患者家庭功能及血糖控制水平的影响.方法 :对住院2型糖尿病患者及其家属40对,同时进行健康教育及管理,并进行电话及门诊随访,进行知识水平、家庭功能水平及患者出院后3个月及6个月糖化血红蛋白(HbA1c)值的检测,进行干预前后的比较.结果 :患者和家属在同步管理后糖尿病知识掌握度、家庭功能均有所提高(P<0.05),重复测量方差分析显示患者(除情感介入和总的功能)及家属家庭功能各维度在时间主效应上具有统计学意义(P<0.05);患者HbA1c值均较干预前有统计学差异(P<0.05).结论 :家属同步管理的模式有利于提高2型糖尿病患者及其家属的知识水平和家庭功能,改善患者血糖控制水平.