糖尿病自我管理教育对2型糖尿病患者自我管理护理的影响

Imelda Rahmayunia Kartika, Aria Wahyuni, N. F. Dewi
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摘要

糖尿病患者的一个常见问题是在日常自我护理管理中缺乏纪律。糖尿病自我管理教育(DSME)是一种帮助糖尿病患者管理其活动以改善其健康状况的系统。DSME是提高糖尿病患者自我护理知识、技能和能力的过程。本研究旨在探讨糖尿病自我管理教育(DSME)干预的效果及其对患者自我护理管理的影响。本研究在2型糖尿病患者中采用一组前测后测的准实验方法。采用有目的抽样法将30名参与者分配到DSME干预组。使用说明性媒体/传单对参与者进行了四次DSME。数据采用《糖尿病自我护理管理》问卷收集。然后,采用配对t检验进行分析。结果显示,被调查者在干预前的自我护理管理得分为28.8分,干预后的自我护理管理得分为35.3分(平均差值为6.5分)。干预前后自我护理评分差异有统计学意义(p=0.001)。本研究进行DSME的时间有限。但是,在四节课中,我们试着用互动的方式解释更多关于糖尿病的知识。然后,更好地对2型糖尿病患者进行定性评估或混合纳入更多的参与者,为今后的研究提供依据。本研究采用DSME来观察2型糖尿病患者自我护理管理的显著改善。这表明DSME干预在2型糖尿病患者的护理中具有重要的临床意义。关键词:糖尿病自我管理教育;自我保健管理;2型糖尿病患者
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetic Self-Management Education – Effect on Self-Management Care of Type-2 Diabetic Patients
A common problem of a person with diabetes mellitus was the lack of discipline in implementation of their daily self-care management. Diabetes Self-Management Education (DSME) was a system to help diabetes patients manage their activities to improve their health. DSME is the process which can improve the knowledge, skill, and ability of diabetes self-care. This study aimed to determine the effect of using diabetes self-management education (DSME) intervention and how it affected patients’ self-care management. This research was quasi experiment with one group pretest-posttest among patients with type-2 diabetes. There were 30 participants assigned by using purposive sampling into DSME intervention. Four sessions of DSME were conducted to the participants using illustrative media/fliers. The data were collected by   questionnaires of Diabetes Self-Care Management. Then, it was analyzed by using paired t-test. The results showed that self-care management of the respondents before the intervention was 28.8 and it increased to 35.3 after the intervention (mean different=6.5). There were differences in the self-care score before and after the intervention (p=0.001). This study has limited time to do DSME. But, in four sessions, we have tried to explain more about diabetes interactively. Then, better to assess the type-2 diabetes patients with qualitative method or mixed with more participants included for the future researchers. This research was adopting a DSME to found significant improvements in the self-care management in type-2 diabetes mellitus patient. This demonstrates that DSME intervention can be such clinical importance in care of type-2 diabetes mellitus patient.Keywords: Diabetes self-management education, self-care management, type-2 diabetes patients.
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