摘要

Objective: To investigate and analyze the effect of peer support on the quality of life of patients with type 2 diabetic nephropathy. Methods: One hundred and eighty (180) cases of patients with type 2 diabetic nephropathy diagnosed and treated in The First Affiliated Hospital of Soochow University, China, from February 2014 to October 2016 were selected and divided into study and control groups by lot. The control group was given routine treatment only, while the study group received additional intervention and peer support. After 6 months of intervention, the scores in diabetic clinical indicators, behavioral indicators and the overall quality of life in the two groups of patients were evaluated. Results: There was no significant difference in FPG, HbA1c, TAG, TC and other indicators as well as scores in various functions and overall quality of life before and after the intervention in the control group (p > 0.05). FPG, HbA1c, TG, TC and other indicators after intervention in the study group were significantly higher than their levels before intervention. FPG, HbA1c, TG, TC and other indicators as well as scores in various functions and overall quality of life after the intervention in the study group were also significantly higher than those of the control group (p < 0.05). There was no significant difference in the scores obtained in evaluation of diabetes-related problems and the WHO happiness index, before and after the intervention in the control group (p > 0.05). The scores in diabetes related problems of the study group were significantly lower than those before the intervention, while the scores in the WHO happiness index were all significantly higher than those before the intervention (p < 0.05). However, after intervention, the scores in diabetes-related problems in the study group were significantly lower than those of the control group, while the scores in the WHO happiness index were all significantly higher than those of the control group (p < 0.05). Conclusion: Peer support influence various clinical indices in type 2 diabetic nephropathy patients. It improves their psychological states, increases their self - management ability and sense of happiness. In addition, peer support improves quality of life of the patients, and so could be recommended for wider clinical application.

全文