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目的:探讨实施综合干预模式提高糖尿病并发肺结核患者自我管理能力。方法:在糖尿病、肺结核知、信、行等问卷调查基础上,通过系统化、规范化、立体化、普适化和个体化健康教育,将饮食、用药、运动、心理、血糖监测有机地整合为一体,通过综合干预,提高病人自我管理能力和生活质量。结果:对102例病人干预前后进行自身对照,得出:①干预前、后空腹和餐后血糖控制达标率比较,P值均<0.01;糖化血红蛋白达标率分别是14.9%、50.8%,χ2=14.49,P<0.01;②干预后6个月痰菌阴转率83.3%,肺部病变明显吸收占71.6%;③经随访病人自我管理能力达到理想水平占13.4%、合格61.2%;④干预前后抑郁自评量表(SDS)[1]评分分别是:55.15、39.53分,下降28.3个百分点。结论:通过综合干预,提升病人自我管理的责任、能力、信心、情感状况以及生活质量。
Objective: To explore the implementation of comprehensive intervention model to improve self-management ability of patients with pulmonary tuberculosis complicated by diabetes. Methods: On the basis of the questionnaire survey of diabetes, tuberculosis, letter, line and so on, the diet, medication, exercise, psychology and blood glucose monitoring were organically integrated into three types of questionnaires: systematic, standardized, stereotypical, One, through comprehensive intervention to improve patient self-management ability and quality of life. Results: Before and after intervention, 102 patients were compared with each other. The results showed: (1) The fasting and postprandial glycemic control compliance rates before and after intervention were all less than 0.01 (P <0.01); the HbA1c compliance rates were 14.9% and 50.8% 14.49, P <0.01; ② 6 months after the intervention sputum negative conversion rate of 83.3%, pulmonary lesions significantly absorbed 71.6%; ③ follow-up patients self-management ability to achieve the desired level accounted for 13.4%, qualified 61.2%; ④ before and after intervention Depression self-rating scale (SDS) [1] scores were: 55.15,39.53 points, down 28.3 percentage points. Conclusion: Through comprehensive intervention, patients’ self-management responsibility, ability, confidence, emotional status and quality of life are improved.