Evaluation on the aerobic exercise level and effect of intervention activities in patients of diabetic self-management groups in Yancheng city, Jiangsu
LIU Fu-dong1, MENG Xian-feng2, ZHANG Xue-yan3, ZHENG Chun-zao1, LIU Rong-hai1
1. Yancheng Municipal Center for Disease Control and Prevention, Yancheng, Jiangsu 224002, China; 2. Weifang Municipal Center for Disease Control and Prevention, Weifang, Shandong 261000, China; 3. School of Medical Technology, Jiangsu Vocational College of Medicine, Yancheng, Jiangsu 224000, China
Abstract：Objective To investigate the level of aerobic exercise in patients of diabetic self-management groups, and to evaluate the application effect of self-management group activities in the management of community patients with diabetes. Methods We selected 1,120 diabetes patients (1,092 patients with effective questionnaires) from some streets and towns in Yancheng city in 2017 to serve as the surveyed subjects, and then evaluated patients who participated in self-management group activities eight times by using questionnaires. Results Among the 1,092 patients with effective questionnaires, the proportionof urban patients performing aerobic exercise more than three times per week (50.50%) was higher than that of rural patients, with a statistically significant difference (P<0.05). The frequency of performing aerobic exercise per week was higher in patients with higher education level than in ones with lower education level as well as higher in patients with longer disease duration than in ones with shorter disease duration, with statistically significant differences (both P<0.05).After intervention of self-management group activities, the awareness rate of diabetic-related knowledge in patients was higher than that before the intervention, showing a statistically significant difference (P<0.05). After intervention of self-management group activities, the frequency of behavior such as blood glucose monitoring, foot examination, healthy diet and aerobic exercise was significantly higher than that before the intervention, showing statistically significant differences (all P<0.05). The total self-efficacy score and the self-efficacy scores of diet control, exercise, medical treatment, blood glucose monitoring, foot care, and high- and low-blood sugar control in patientsafterthe activityinterventionwere higher than those before the intervention, showing statisticallysignificant differences (all P<0.05). Conclusions Urban diabetes patients, diabetes patients with higher education level and longer disease duration have a higher level of aerobic exercise. Intervention of self-management group activities in diabetes patients is an effective mode which can improve the self-management efficacy of patients and cultivate their self-management awareness and behavior.
刘付东, 孟显峰, 张学艳, 郑春早, 刘荣海. 江苏盐城市糖尿病患者自我管理小组有氧运动水平及活动效果评价[J]. 实用预防医学, 2019, 26(10): 1165-1168.
LIU Fu-dong, MENG Xian-feng, ZHANG Xue-yan, ZHENG Chun-zao, LIU Rong-hai. Evaluation on the aerobic exercise level and effect of intervention activities in patients of diabetic self-management groups in Yancheng city, Jiangsu. , 2019, 26(10): 1165-1168.
[1] 中国疾病预防控制中心.中国慢性病及其危险因素监测报告2013[M].北京:军事医学科学出版社,2016:65-66. [2] Steinsbekk A, Rygg Lø, Lisulo M, et al. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus.A systematic review with meta-analysis[J]. BMC Health Serv Res,2012,12:213. [3] 王璟璇,王瑞霞,林秋菊.门诊诊断初期非胰岛素依赖性糖尿病患者的自我照顾行为及其相关因素之探讨[J].护理杂志, 1998, 45(2):60-74. [4] 朱百琼,王俊,吴苏君.自我管理小组活动对糖尿病患者的效果评估[J].浙江临床医学,2014,16(9):1506-1507. [5] Kirk JK, Arcury TA, Ip E,et al. Diabetes symptoms and self-management behaviors in rural older adults[J].Diabetes Res Clin Pract, 2015, 107(1):54-60. [6] Funnell MM,Brown TL,Childs BP,et al.National standards for diabetes self-management education[J].Diabetes Care,2010,33(Suppl 1):s89-s96. [7] 潘晓群,吕淑荣,潘恩春,等.糖尿病社区自我管理小组对自我管理行为的影响及因素分析[J].中国慢性病预防与控制,2015,23(10):721-724. [8] 齐力,董文兰,毛凡,等.自我管理小组活动对糖尿病患者自我效能影响因素分析[J].中国公共卫生,2016,32(5):628-631. [9] 丁贤彬,张春华,沈卓之,等.健康自我管理对糖尿病患者不同自我效能的影响[J].实用预防医学,2016,23(11):1322-1325. [10] 马佳, 李双飞, 冯梅.社区糖尿病患者生命质量及健康促进生活方式研究[J].实用预防医学,2019,26(3):293-296.
2019, Vol. 26 
