Effect of Community Nursing on the Self-management Behaviors of the Patients with Type 2 Diabetes Mellitus

YANG Xiu-qin

doi:10.14033/j.cnki.cfmr.2015.32.050

Abstract：Objective:To explore the effect of community nursing on the self-management behaviors of the patients with type 2 diabetes mellitus (T2DM).Method:93 patients with T2DM at the community center established diabetes health records from March 2013 to March 2014 were selected,they were randomly divided into the intervention group(n=47) and the control group(n=46).Both groups were given the health education related to community diabetes.Based on this, the intervention group was added community nursing.Self-management behaviors and quality of life(QOL) of patients of the two groups were evaluated respectively using SDSCA and SF-36 scale.Diabetes-related biochemical indexes including fasting blood glucose(FBG), 2 h postprandial glucose(2 h PG), glycosylated hemoglobin(HbA1c), blood pressures, body mass index(BMI) and SDSCA scores of the two groups before and after intervention were compared,and the improved condition of QOL was observed.Result:The drug compliance, dietary control, glucose monitoring, exercises training, foot nursing and total score of self-management behaviors in the intervention group after intervention were all higher than those of the control group,the differences were statistically significant(P<0.01). After intervention,FBG, 2 h PG, HbA1c, BMI, systolic blood pressure(SBP) and diastolic blood pressure(DBP) of the two groups went down dramatically compared with intervention before(P<0.05 orP<0.01), and the decreased range of intervention group was larger(P<0.05 orP<0.01).Additionally, each dimensionality score of SF-36 scale went up conspicuously compared with intervention before, and the increased range of the intervention group was more significant(P<0.01).Conclusion:Community nursing can effectively control the blood glucose level of patients with T2DM, ameliorate self-management behaviors and improve QOL.