摘要
目的探讨同伴支持对2型糖尿病患者胰岛素注射依从性的影响。方法随机抽取110例2型糖尿病胰岛素注射患者,分为对照组和干预组各55例,对照组采用常规的健康教育和发放健康教育资料,而干预组进行为期3个月的同伴支持干预,在干预前、干预1个月、干预3个月分别对2组患者进行胰岛素注射依从性问卷调查和自我管理行为改变观察,并对血糖达标率进行统计。结果干预3个月后,干预组注射依从性好于对照组(P<0.05);干预组患者遵医嘱用药、饮食、运动、血糖监测及复诊情况优于对照组(P<0.05);干预组患者空腹血糖值与餐后2h血糖值及HbA1c值优于对照组(P<0.05)。结论在糖尿病专科护士指导下的同伴支持,可使2型糖尿病患者应用胰岛素治疗的依从性有明显提高,改善自我管理行为,使血糖得到良好的控制。
Objective To explore the effects of peer support on compliance of insulin injection in patients with type 2 diabetes（T2DM）. Methods 110 patients with T2DM were divided into intervention group and control group with 55 patients in each group. The control group was given conventional health education and health education materials while the intervention group was given peer support intervention for 3 months. Questionnaire investigation of the compliance of insulin in- jection, self management behavior change and standard rate of blood glucose were recorded and analyzed respectively before intervention, in one month and three months after intervention. Results Compliance in intervention group was better than that in the control group （ P 〈 0.05 ）. Prescribed medication, diet, exercises, self monitoring and diseases recheck in the intervention group were better than that in the control group（P〈0.05）. FBG, PG in 2 h, HbAlc in the intervention group were better than those of the control group （P 〈 0.05）. Conclusion Peer support guided by diabetic specialist nurses could improve the compliance of insulin treatment and self management, and control the level of blood glucose.
出处
《实用临床医药杂志》
CAS
2014年第18期11-13,29,共4页
Journal of Clinical Medicine in Practice
