Study Of The Status And Intervention On Knowledge,Attitude,Behavior About Self-management Of Type 2 Diabetes Patients In Community

Objective(1)To understand the status quo and influencing factors of knowledge,attitude,behavior about self-management with type 2 diabetes in community;(2)To explore the intervention effect of WeChat on blood glucose control and self-management ability of type 2 diabetic patients,so as to provide reference for improving self-management ability of diabetic patients and improving the prevention and treatment of diabetes.Methods(1)In the section of “study on the self-management status and influencing factors of type 2 diabetes patients in community”,a cluster random sampling method was used.A total of 546 diabetic patients who met the inclusion and exclusion criteria were selected from seven community health service centers in the three cities of Ningxia to investigate the status of self-management of diabetes and its influence factors;(2)"WeChat as a carrier to study the effect of intervention on blood glucose control and self-management ability of patients with type 2 diabetes in the community" section,based on the survey results of the current situation,randomly selected 2 communities,using random number table method to divide into the intervention group and control group According to the inclusion and exclusion criteria,40 diabetic patients were included in the intervention group and the control group,a total of 80 patients;the control group received regular community health service health education and follow-up,and the intervention group patients received self-management health education based on WeChat 3 months of intervention,blood glucose index and self-management questionnaire were collected.Results(1)The survey showed that the total score of self-management in communitytype 2 diabetic patients was 70.98±13.54,and the scores of knowledge,attitude and behavior were 74.88±20.38,84.19±11.92,60.86±12.71;The total score of self-management as the dependent variable,the variables with statistical significance in the single factor analysis were included in the multiple linear stepwise regression analysis.Nine variables were entered into the equation: age,HbA1 c compliance,diabetes follow-up,smoking,occupation,course of disease,history of hypertension,the most recent measurement of blood glucose time,education level;self-management of diabetes patients Attitude plays a partial mediating role in self-management knowledge and self-management behavior;(2)The average score of self-management in the intervention group increased from 70.94 to 78.48,and the subscales of knowledge,attitude,and behavior increased by 9.43,7.6,and 4.73(P <0.05);In the intervention group,fasting blood glucose decreased from 8.61 to 7.57,and HbA1 c decreased from 7.80 to 7.27(P < 0.05).Conclusion The level of self-management,knowledge and behavior of type 2 diabetes patients in Ningxia community was not ideal,among which attitude tends to be good,knowledge was in the middle level,behavior level was not optimistic,and self-management level was affected by many factors,so self-management health education should be strengthened.In the management or intervention,it needs to be different according to the specific situation of different patients;WeChat platform intervention can improve the self-management ability of patients with type 2 diabetes,improve the effect of blood glucose control,prevent complications,enhance patients' confidence in treatment and quality of life,which can be widely used.