目的 探讨中医健康指导员进行家庭干预对糖尿病 ( DM) 患者在血糖管理等方面的效果.方法 选取高碑店社区2 型糖尿病患者116 例, 采用随机抽样法分为对照组和中医组, 对照组指导员接受常规DM健康教育培训, 中医组指导员在此基础上, 接受DM中医养生保健知识培训.培训后的两组指导员对DM患者进行家庭干预1 年, 比较干预前后两组患者血糖水平、自我管理能力及生活质量的变化.结果 干预1 年后, 与对照组相比, 中医组血糖水平明显降低 (P <0.05); 自我管理行为及生活质量明显提高 ( P<0.05) .结论 中医健康指导员的家庭干预方式可以更好地降低 DM 患者血糖水平, 提高其自我管理行为及生活质量, 是在社区可以推行的健康教育方式.%Objective To evaluate the effects of traditional chinese medicine (TCM) health instructors on family interven-tion in patients with diabetes mellitus (DM). Methods 116 type 2 DM patients in Gaobeidian community were randomly divided in-to the control group and TCM group by rodom stage sampling method. The control group received the guidance of the general instruc-tors and the TCM group received guidance of TCM instructors. Blood glucose, self - management behavior and quality of life were compared between the two groups after one year of family intervention. Results Compared with the control group, the level of blood glucose was decreased (P<0.05), but the self -management ability and the quality of life were increased ( P <0.05) in TCM group after one year of intervention. Conclusion Family intervention of TCM health instructors is helpful to reduce blood glucose lev-el of DM patients and improve their self-management ability and quality of life.
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