ObjectiveTo explore the effect of spousal synchronous empowerment education based on binary coping model on self-management and blood glucose control in patients with diabetes mellitus.

MethodsA total of 120 diabetic patients were selected as the research objects and randomly divided into a control group(n=60) and an intervention group(n=60).Patients of the control group were subject only to empowerment education model and that of the intervention group received the binary coping model for spousal synchronous empowerment education.The data of all subjects in the two groups, such as fasting blood glucose (FBG), 2-hour postprandial plasms glucose (2hPBG), glycosylated hemoglobin (HbA1c), self-management behavior scale scores and total scores, were collected at the baseline and 3 and 6 months after the intervention.

ResultsThere were no significant difference in FBG, 2hPBG, HbA1c and self-management behaviors and total scores between the two groups of patients at the baseline (P>0.05);the data of FBG, 2hPBG and HbA1c of the intervention group at 3 months and 6 months after intervention were better than that of the control group(P < 0.05 to P < 0.01).FBG, 2hPBG, and HbA1c showed a decreasing trend with time in both groups before and after the intervention (P < 0.05 to P < 0.01).The self-management behavior scale scores and total scores in the intervention group were higher than in the control group after the intervention (P < 0.01).Scores of all indicators in the two groups after the intervention were higher than before the intervention (P < 0.05 to P < 0.01).

ConclusionsSpousal synchronous empowerment education based on the binary coping model can effectively improve the ability of self-management and glucose control, which should be advocated for application in nursing health education.