目的：探讨同伴指导交流对2型糖尿病患者的血糖和自我效能指标的影响效果。方法选取中山小榄人民医院住院部60例2型糖尿病患者，将其随机分为干预组和对照组，对其发放自我效能量表，选取自我效能高的同伴对其他成员进行运动、饮食、服药、血糖监测、足部护理和预防及处理低血糖等方面的指导交流，干预3周后，再次发放自我效能量表，监测血糖，进行结果比较。结果同伴指导交流后干预组自我效能总分和血糖控制较对照组好，差异有统计学意义（P＜0．05），在饮食控制，遵医嘱用药、足部护理，预防及处理低血糖方面比较明显，在规律运动，血糖监测方面差异不明显，对降低空腹血糖有统计学意义，对降低餐后2h血糖意义不明显。结论同伴指导能使2型糖尿病患者对自身疾病控制的自我效能得到提高，从而更好地控制血糖。%Objective To investigate the effect of peer guidance communication on blood sugar self efficacy index of patients sufered from type 2 diabetics .Methods Using sequential sampling method , 60 cases of type 2 diabetes patients were divided into the experimental group and the control group , the self-efficacy scale was distributed , the patients those who obtained higher score in self -efficacy scale were employed to give guidance to the others on exercise , diet, medication, blood glucose monitoring , foot care, prevention and treatment of hypoglycemia and other aspects , three weeks after the intervention , self-efficacy scale was issued once again, measured the concentration of blood glucose , and compared the results .Results The self-efficacy score and glycemic control of experimental group were precede than those of the control group after peer guidance communication, the differences were statistically significant (P<0.05).Peer guidance communication showed obvious effect on the diet , prescribed medication , foot care , prevention and treatment of hypoglycemia , unfortunately , effects on exercise regular , blood glucose monitoring were not so significant .The reduce of fasting blood glucose was statistical significance , but not on 2h postprandial blood glucose .Conclusions The companion guide can improve the self efficacy of disease control of type 2 diabetic patients , so as to get better control of blood glucose.
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