Effect evaluation and influencing factors of self-management group activities in patients with type 2 diabetes in Yancheng region
LIU Fu-dong1, ZHANG Xue-yan2, ZHOU Wen-jun2, LU Xiao-min2, ZHENG Chun-zao1, LIU Rong-hai1, SHEN Ya3
1. Yancheng Municipal Center for Disease Control and Prevention, Yancheng, Jiangsu 224002, China; 2. Jiangsu Primary Health Development and General Practice Education Research Center, Jiangsu Vocational College of Medicine, Yancheng, Jiangsu 224000, China; 3. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu 210000, China
Abstract：Objective To analyze the effect of self-management on fasting blood glucose and self-efficacy intervention in patients with type 2 diabetes in Yancheng region, and to explore the possible factors affecting the improvement of fasting blood glucose. Methods A total of 1,085 patients with type 2 diabetes in some streets and towns in Yancheng city in 2018 wereselected as the research subjects. The fasting blood glucose and self-management effects of patients who completed 8 self-management group activities were evaluated by questionnaires. Results Comparison of blood glucose changes before and after self-management group activities in the diabetes patients with different demographic characteristics showed that there were statistically significant differences in blood glucose changes before and after the activities between patients participating and not participating in the diabetes management team(Z=-2.080, P=0.038) as well as between patients with and without therapy for diabetes (Z=-2.662, P=0.008). The diabetes patients’ fasting blood glucose value (t=7.107, P=0.000), self-efficacy (t=23.309, P=0.000) and behavioral score (t=17.685, P=0.000) after the self-management group activities showed statistically significant differences as compared with those before the self-management group activities. The results of multiple linear regression analysis showed that age (β=-0.107), educational background (β=-0.182), history of diabetes (β=0.121), previous participation in self-management group activities (β=0.282) and behavioral score (β=-0.091) were factors affecting the improvement of fasting blood glucose (all P<0.05). Conclusions Conducting diabetes self-management can effectively improve the patients’ self-efficacy and behavior, and improve their fasting blood glucose status.
刘付东, 张学艳, 周文君, 卢小敏, 郑春早, 刘荣海, 沈雅. 盐城地区2型糖尿病患者自我管理小组活动效果评价及影响因素研究[J]. 实用预防医学, 2020, 27(10): 1168-1171.
LIU Fu-dong, ZHANG Xue-yan, ZHOU Wen-jun, LU Xiao-min, ZHENG Chun-zao, LIU Rong-hai, SHEN Ya. Effect evaluation and influencing factors of self-management group activities in patients with type 2 diabetes in Yancheng region. , 2020, 27(10): 1168-1171.
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2020, Vol. 27 
