目的：探讨胰岛素管理单元模式对社区2型糖尿病患者自我效能的影响。方法：将社区80例接受胰岛素治疗的2型糖尿病患者随机分为干预组和对照组各40例，干预组接受6个月的社区胰岛素管理单元模式管理，对照组接受社区常规糖尿病管理。比较干预前和干预6个月时两组患者空腹血糖、糖化血红蛋白（ HbA1 c）及自我效能得分。结果：干预6个月时，干预组空腹血糖和HbA1c较对照组下降明显（P＜0．05）；自我效能得分优于对照组（P＜0．05）。结论：实施胰岛素管理单元可以提高社区2型糖尿病患者的自我效能，改善患者的自我管理水平和血糖代谢状况。%Objective:To explore the effect of insulin management unit pattern on the self -efficacy of community patients with type 2 diabetes .Methods:80 type 2 diabetic community patients who received insulin therapy were randomly divided into the intervention group and the control group (40 cases in each group).The patients in the intervention group received 6-month community management by fol-lowing insulin management unit pattern;the patients in the control group received routine community management of diabetic patients .The level of fasting blood glucose ,glycosylated hemoglobin ( HbA1 c) and the scores of self -efficacy of the patients were compared between the two groups before the intervention and after the intervention for 6 months.Results:The level of fasting blood glucose and glycosylated hemo-globin (HbA1c) decreased significantly in the intervention group after the intervention for 6 months (P<0.05);the scores of self-effica-cy of the patients were superior in the intervention group to the control group (P<0.05).Conclusion:Implementation of insulin manage-ment unit can improve the self -efficacy of community patients with type 2 diabetes ,and it can improve their self management level and the glucose metabolism .
展开▼
