Effect of systematic self-management education on quality of life,anxiety and depression of patients with Type 2 diabetes in communities

ZHOU Qiuhong1,LI Xiangping2,ZOU Fuzhen3,WU Liaofang1,CHEN Huiling1,LIU Zehao1(1.Department of Endocrinology;2.Department of Pharmacy;3.Department of Cosmetic Plastic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)  

Objective To explore the effect of systematic self-management education on quality of life,anxiety and depression of patients with Type 2 diabetes in communities.Methods A total of 248 patients with Type 2 diabetes from 10 communities of Changsha from February 2009 to July 2010 were randomized into an intervention group and a control group.The intervention group received systematic self-management education,while the controls received routine community education.The quality of life,anxiety and depression were measured by adjusted diabetes-specific quality of life scale(A-DQOL),self-rating anxiety scale(SAS) and self-rating depression scale(SDS) respectively.Results The quality of life,morbidity of anxiety or depression of the intervention and the control group were comparable at the baseline(P0.05).One and half year later,there was significant difference between the two groups(P0.01).Compared with the control group,the intervention group got better quality of life(P0.01),less morbidity of anxiety(8.94% vs.44.4%,P0.01) and depression(23.58% vs.56.00%,P0.01).Conclusion Systematic self-management education can effectively improve the quality of life,reduce the level of anxiety and depression of patients with Type 2 diabetes in communities,which deserves further generalization.

【Key Words】： community Type 2 diabetes self-management quality of life anxiety depression
【Fund】： 湖南省科技厅课题(2009SK3180)~~
【CateGory Index】： R587.1
【DOI】： CNKI:SUN:HNYD.0.2011-02-006

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