社区支持小组干预促进尼泊尔非传染性疾病的自我管理:试点研究
Rabina Dhakal1, Barsha Thapa1, Dibya Laxmi Manandhar1,2
1Apara Innovations, Kathmandu, Nepal.
PLOS global public health
|February 23, 2026
概括
社区支持小组是改善高血压和糖尿病患者自我管理的可行策略. 这些群体,特别是当它们是均的,并由专家提供便利时,可以增强生活方式行为和健康结果.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 慢性疾病管理 慢性疾病管理
背景情况:
- 社区支持小组赋予个人自我帮助和疾病管理的权力.
- 干预的有效性取决于背景.
- 在尼泊尔,支持高血压和糖尿病自我管理的支持小组的可行性尚未被探索.
研究的目的:
- 探索定期社区支持小组会议的可行性,以促进尼泊尔高血压和/或糖尿病成年人的自我管理行为.
主要方法:
- 一个混合方法的试点研究,涉及四个组 (老年人,边缘化,混合,妇女) 会议每两周三个月.
- 对体重,血压,饮食和运动进行定量评估.
- 使用专题分析对会议讨论和深入采访进行定性分析.
- 以博恩框架为指导的可行性评估.
主要成果:
- 超过80%的参与者完成了这项研究,报告了满意度和感知到的好处.
- 参与导致改善饮食习惯,降低血压和减肥.
- 同质群体培养了协作式的自我管理实践.
- 参与者建议资源人为可持续发展提供领导力.
结论:
- 社区支持小组会议是增强高血压或糖尿病患者自我管理的潜在可行的方法.
- 关注生活方式的支持小组可以改善非传染性疾病 (NCD) 的自我管理.
- 一致的小组组成和专家便利可能会提高参与度和长期可持续性.
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