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联合微信群对院外2型糖尿病患者实施同伴教育的效果评价
罗建梅,雷铖
0
(西南医科大学 1.附属医院;护理学院)
摘要:
【摘要】 目的 分析联合微信群对院外2型糖尿病(T2DM)患者实施同伴教育的效果,并探讨新型的同伴教育模式对患者自我管理效能和生活质量的影响。方法 采用便利抽样的方法选取2016年1~6月在某三甲医院内分泌科门诊就诊的T2DM患者142例,按照随机数表法将对象分为对照组与试验组各71例。对照组行常规健康教育,试验组在常规健康教育基础上接受为期3个月的联合微信群同伴教育。采用糖尿病自我管理量表(DSMS)、糖尿病自我效能量表(DMSES)、中文版糖尿病生活质量特异性量表(CNADDQOL)测量并分析患者干预前后自我管理、自我效能及生活质量情况。结果 最终试验组纳入66名,对照组纳入65名患者完成整个研究。两组一般情况、DSMS、DMSES以及CNADDQOL三个量表干预前基线评估处于同一水平,差异无统计学意义(P>005)。经过联合微信群的同伴教育进行为期3个月的干预后,试验组DSMS、DMSES以及CNADDQOL三个量表总得分均明显高于对照组,差异有统计学意义(P<001)。结论 联合微信群对院外T2DM患者实施同伴教育可以增加患者管理疾病的信心,有效改善患者自我管理行为,从而提高患者生活质量。
关键词:  2型糖尿病  同伴教育  自我管理  生活质量  微信
DOI:
基金项目:四川省医院管理和发展研究青年项目(SCYG2017 30);国家级大学生创新创业训练计划项目(201710632056)
Evaluation of effective of WeChat groups peer education in patients with type 2 diabetes mellitus
LUO Jianmei,LEI Cheng
(The Affiliated Hospital of Southwest Medical University;Department of Nursing, Southwest Medical University)
Abstract:
【Abstract】 Objective To analyze effect of peer education which was combined with WeChat groups in patients with type 2 diabetes and explore the impact of the new peer education model on patient selfmanagement effectiveness and quality of life.Methods 142 patients with T2DM were Chosen and divided them into the control group and test group according to random numbers table. The 71 patients in the control group received routine health education, while The 71 patients in the test group received not only the routine health education but also a WeChatgroups peer education program. The patients were investigated with Diabetes SelfManagement Scale (DSMS),Diabetes Management SelfEfficacy Scale (DMSES)and Chinese Normal Audit of DiabetesDependent Quality of Life(CNADDQOL)for T2DM patients before and after the intervention.Results In the end, there were 66 patients in test group completed the study. The number of the control group was 65. General information on both groups of patients, DSMS, DMSES, and CNADDQOL were the same at baseline, and the difference was not statistically significant (P>005). After a threemonth intervention through a joint WeChat groups of peer education, the scores of DSMS (7325±761), DMSES (6967±764) and CNADDQOL (2903±1479) in the experimental group were significantly higher than those in the control group (P<001).Conclusion The Combination of WeChat groups and peer education program is an effective intervention, which can increase patient confidence in managing disease and effectively improve the patient selfmanagement behavior, improving the quality of life of patients with type 2 diabetes.
Key words:  Type 2 diabetes  Peer support  Self management  Quality of life  Wechat

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