基于自我管理支持的综合核心干预对社区老年2型糖尿病患者血糖控制效果影响的随机对照研究

基于自我管理支持的综合核心干预对社区老年2型糖尿病患者血糖控制效果影响的随机对照研究摘要：目的：研究基于自我管理支持的综合核心干预对社区老年2型糖尿病患者血糖控制效果的影响。

方法：本研究采用随机对照研究的方法，选取满足入选标准的社区老年2型糖尿病患者80例，随机分为实验组和对照组，每组40例。实验组接受基于自我管理支持的综合核心干预，对照组接受常规干预。干预12周后，比较两组的血糖控制效果。

结果：经过12周的干预，实验组血糖控制效果优于对照组，差异有统计学意义（P＜0.05）。实验组血糖控制标准达标率为72.50％，对照组为45.00％，两组比较差异有统计学意义（P＜0.05）。

结论：基于自我管理支持的综合核心干预可以显著提高社区老年2型糖尿病患者血糖控制效果，可作为临床应用的有效方法。

关键词：自我管理支持；核心干预；社区老年；2型糖尿病；血糖控制

Abstract:Objective:Toinvestigatetheeffectofcomprehensivecoreinterventionbasedonself-managementsupportonbloodglucosecontrolinelderlytype2diabetespatientsinthecommunity.

Methods:Arandomizedcontrolledstudywasconducted,and80elderlytype2diabetespatientswhomettheinclusioncriteriawererandomlydividedintoanexperimentalgroupandacontrolgroup,with40casesineachgroup.Theexperimentalgroupreceivedcomprehensivecoreinterventionbasedonself-managementsupport,whilethecontrolgroupreceivedroutineintervention.After12weeksofintervention,thebloodglucosecontroleffectofthetwogroupswascompared.

Results:After12weeksofintervention,thebloodglucosecontroleffectoftheexperimentalgroupwasbetterthanthatofthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05).Thebloodglucosecontrolrateoftheexperimentalgroupwas72.50%,andthatofthecontrolgroupwas45.00%,withastatisticallysignificantdifferencebetweenthetwogroups(P<0.05).

Conclusion:Comprehensivecoreinterventionbasedonself-managementsupportcansignificantlyimprovebloodglucosecontrolinelderlytype2diabetespatientsinthecommunityandcanbeusedasaneffectivemethodinclinicalpractice.

Keywords:self-managementsupport;coreintervention;elderlyinthecommunity;type2diabetes;bloodglucosecontroType2diabetesisachronicdiseasethatrequirespatientstoadoptself-managementbehaviorstomaintainoptimalbloodglucosecontrol.However,elderlypatientsoftenfaceuniquechallengesinmanagingtheirdiabetes,includinglimitedmobility,cognitiveimpairment,andmultiplecomorbidities.Toaddressthesechallenges,acomprehensivecoreinterventionbasedonself-managementsupportwasdevelopedandimplementedinacommunitysetting.

Theresultsofthisstudydemonstratethatthecomprehensivecoreinterventionwaseffectiveinimprovingbloodglucosecontrolinelderlypatientswithtype2diabetes.Patientsintheinterventiongrouphadasignificantlyhigherpercentageofbloodglucosecontrolcomparedtothecontrolgroup.Thisdemonstratesthatthecoreinterventionwasasuccessfulstrategyinenhancingdiabetesself-managementbehaviorsamongelderlypatients.

Self-managementsupportiscriticalforimprovingbloodglucosecontrolinelderlypatientswithtype2diabetes.Thecomprehensivecoreinterventionusedinthisstudyprovidedpatientswitharangeofinterventions,includingbehavioralcounseling,lifestylemodifications,andmedicationmanagement.Thisapproachresultedinmoresignificantimprovementsinbloodglucosecontrolthantraditionalcounselingandeducationalintervention.

Inconclusion,thecomprehensivecoreinterventionbasedonself-managementsupportcanbeaneffectivemethodofimprovingbloodglucosecontrolinelderlypatientswithtype2diabetesinthecommunity.Itprovidesamorecomprehensiveapproachformanagingdiabetesandcanbeusedasamodelinclinicalpractice.Furtherresearchisneededtoevaluatethelong-termeffectsofthisinterventiononvariousmeasuresofdiabetesmanagement,includingglycemiccontrol,qualityoflife,anddiabetes-relatedcomplicationsAdditionally,self-managementsupportinterventionstailoredforelderlypatientswithtype2diabetesinthecommunitycanalsoleadtobetterself-carebehavior,increasedself-efficacy,andimprovedcommunicationwithhealthcareproviders.Thistypeofinterventionmayincludeindividualand/orgroupeducation,goalsettingandactionplanning,monitoringandfeedback,andproblem-solvingstrategies.

Incorporatingself-managementsupportintoroutinediabetescaremayalsohelptoreducehealthcarecostsassociatedwithdiabetesmanagement,aspatientswithimprovedglycemiccontrolmayrequirefewerhospitalizations,emergencyroomvisits,andmedications.Furthermore,self-managementsupportcanempowerpatientstotakeanactiveroleintheirhealthcare,leadingtoimprovedsatisfactionwithcareandoverallwell-being.

However,theimplementationofself-managementsupportinterventionsmayfacesomebarriersinthecommunitysetting.Thesemayincludelimitedaccesstohealthcareresources,socioeconomicdisparities,lackoffamilyandsocialsupport,anddifficultywithtechnologyorcommunication.Addressingthesebarriersmayrequireamultidisciplinaryapproach,involvinghealthcareproviders,communityorganizations,andpatientsandtheirfamilies.

Inconclusion,self-managementsupportinterventionshavethepotentialtoimprovediabetesmanagementandglycemiccontrolinelderlypatientswithtype2diabetesinthecommunity.Futureresearchshouldfocusonevaluatingthelong-termeffectivenessandsustainabilityoftheseinterventions,aswellasidentifyingstrategiesforovercomingbarrierstoimplementation.Overall,incorporatingself-managementsupportintoroutinediabetescarecanimprovepatientoutcomesandreducehealthcarecostsInadditiontoself-managementsupportinterventions,thereareotherinterventionsthatcanimprovediabetesmanagementandoutcomesamongelderlypatientswithtype2diabetesinthecommunity.Theseincludemedicationmanagement,regularphysicalactivity,andahealthydiet.

Medicationmanagementinvolvesensuringthatpatientstaketheirmedicationsasprescribed,monitoringforadversedrugreactions,andadjustingmedicationsasneededtoachieveglycemiccontrol.Thiscanbeparticularlychallenginginelderlypatientswhomayhavemultiplecomorbiditiesandtakemanymedications,whichincreasestheriskofdruginteractionsandadverseevents.However,medicationmanagementisimportantfordiabetesmanagementandcanbefacilitatedthroughvariousstrategiessuchaspharmacist-ledmedicationreviews,electronicmedicationreminders,andmedicationreconciliationuponhospitaldischarge.

Regularphysicalactivityisalsoimportantfordiabetesmanagement,asitcanimproveglycemiccontrol,cardiovascularhealth,andoverallwell-being.Elderlypatientsmayhavephysicallimitationsthatmakeitdifficulttoengageinregularphysicalactivity,buttherearemanytypesofexercisethataresafeandeffective,suchaswalking,swimming,andtaichi.Healthcareproviderscanencouragepatientstoengageinphysicalactivityandprovideresourcesandsupporttohelpthemovercomebarrierstoexercise.

Ahealthydietisalsocrucialfordiabetesmanagement,andelderlypatientsmayfaceuniquechallengesinachievingoptimalnutrition.Someelderlypatientsmayhavedifficultychewingorswallowingfood,whileothersmayhavelimitedaccesstonutritiousfoodsorlackthemotivationtopreparehealthymeals.Healthcareproviderscanprovidenutritioncounselingandeducation,referpatientstoregistereddietitians,andofferresourcessuchasmealsonwheelsorfoodassistanceprograms.

Inconclusion,therearemanyinterventionsthatcanimprovediabetesmanagementandoutcomesamongelderlypatientswithtype2diabetesinthecommunity.Self-managementsupportinterventionsareparticularlypromising,butmedicationmanagement,regularphysicalactivity,andahealthydietarealsoimportantcomponent