摘要
Abstract
Objective To explore the long-term effect of peer support model on the self-efficacy, self-management and blood glucose control in patients with type 2 diabetes mellitus. Methods Diagnosed type 2 diabetes patients in five community health service centers in the south of Dongcheng district (formerly Chongwen District) in Beijing were selected as research objects. One intervention group and one control group were selected in each community health service center, and each group was comprised of about 15 patients. Finally, there were 80 patients in the control group and 74 patients in the intervention group. In 2013, all patients were surveyed before the intervention and 6 months after intervention, and a three-year follow-up was conducted in 2016. The data at three time points were analyzed. Results Finally, 76 patients in the intervention group and 68 patients in the control group were involved in the three-year follow-up. There was significant difference between two groups in drug treatment, blood glucose monitoring, foot care, high/low blood glucose management, and total self-efficacy score (P<0.05), and diet control, regular exercise, foot care, high/low blood glucose management, and total self-efficacy score differed at different time points (P<0. 05). Intervention methods and time points had interaction on diet control, drug treatment, blood glucose monitoring, foot care, high/low blood glucose management, total self-efficacy score, fasting blood glucose, and glycosylated hemoglobin (P<0.05). After 6 months of intervention, the diet control, drug treatment, blood glucose monitoring, foot care, high/low blood glucose management, and total self-efficacy score in intervention group were higher than those of control group. After 36 months of intervention, drug treatment and foot care in intervention group were higher than those of control group (P<0.05). After 6 and 36 months of intervention, the intervention group had a higher rate of diet control and exercise control than control group (P<0.05). Conclusion Peer support model has better short-term effect on blood glucose control of patients with type 2 diabetes mellitus, while it is superior to standardized management in improving self-efficacy of drug treatment and foot care, and diet and exercise intervention in short term.关键词
糖尿病,2型/血糖/同伴支持/自我效能Key words
Diabetes mellitus/type 2/Blood glucose/Peer support/Self-efficacy分类
医药卫生
