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目的:通过医患共建糖尿病患者俱乐部、病友会,采取医务人员指导下的有组织的自我管理模式,开展了内容丰富、形式多样且寓教于乐的活动,提高了患者自我管理的能力,同时也加强了患者全面的健康管理知识、提高了用药的依从性,增强了战胜疾病的信心。方法:采取病友会这种患者自我管理形式,影响患者糖尿病相关知识,信念,行为。结果:通过对刘佩文工作室08及10年进行的两次病友健康管理知识、信念、行为调查结果显示:愿意配合医生治疗,勇于面对生活的病友比例从08年的25.4%上升到10年的94.4%;而因为害怕疼痛且难以掌握正确的注射技术而不愿接受胰岛素治疗的患者比例也从08年的59.8%下降到10年的46%;对健康教育的满意度也从08年的70%提高到10年的100%。以上调查结果均表明了糖尿病患者俱乐部、病友会这种双管齐下的患者自我管理模式在增强病友互动、提高相关知识、增强信念、以及行为落实方面均取得了较为理想的成果。结论:糖尿病患者俱乐部、病友会是糖尿病管理工作人员的智慧结晶,更是糖尿病患者的福音,并且为我国糖尿病管理工作提供新的思路与方法,实践了这种新型糖尿病自我管理模式。
OBJECTIVE: Through the organized doctor-patient organized clubs and patients’ clubs and the organized self-management mode under the guidance of medical personnel, we conducted a rich, diversified and edutainment activity to improve patient self-management ability, At the same time, it also strengthens patients’ overall health management knowledge, improves the compliance of medication and enhances the confidence to overcome the disease. Methods: Take patients with self-management of patients in this form, affecting patients with diabetes-related knowledge, beliefs, behavior. Results: Through the investigation of knowledge, beliefs and behaviors of two patients in 08 and 10 years conducted by Liu Peiwen, the results showed that the proportion of patients who are willing to cooperate with doctors and have the courage to face life increased from 25.4% in 2008 to 10 years 94.4%. However, the proportion of patients who were unwilling to receive insulin therapy because of fear of pain and difficult to grasp the correct injection technique dropped from 59.8% in 2008 to 46% in 10 years. The health education satisfaction also dropped from 70% in 2008 % Increase to 100% of 10 years. The above findings indicate that the two-pronged patient self-management model of clubs and patients with diabetes has achieved satisfactory results in enhancing patient interaction, enhancing relevant knowledge, enhancing beliefs and implementing behaviors. Conclusion: Clubs and patients with diabetes mellitus are the brainchild of diabetes management staff. It is also the gospel of patients with diabetes and provide new ideas and methods for diabetes management in our country. The practice of this new model of diabetes self-management has been implemented.