自我管理教育对2型糖尿病患者治疗依从性的影响  

Effect of diabetes self-management education on treatment compliance of type 2 diabetic patients

作　　者：刘莉莉[1] 孙子林[1] 金晖[1] 鞠昌萍[1] 韩晶[1] 陆青松[1] 

机构地区：[1]东南大学附属中大医院内分泌病科,南京市210009

出　　处：《江苏医药》2011年第3期275-277,共3页Jiangsu Medical Journal

基　　金：江苏省卫生厅重大科研项目(K200608);江苏省科技厅自然科学基金重点项目(BK2010087)

摘　　要：目的评价自我管理教育对2型糖尿病(T2DM)患者治疗依从性的影响。方法 980例T2DM患者随机分为自我管理教育组(管理组,514例)和常规糖尿病教育组(对照组,466例)。比较干预前后两组患者糖尿病知识、治疗依从性和血糖控制状况变化。结果干预后,管理组糖尿病知识水平显著高于对照组(P<0.05),治疗依从性、空腹血糖(FBG)、餐后2-h血糖(PBG)和糖化血红蛋白(HbA1c)控制情况均显著优于对照组(P<0.01)。结论自我管理教育能增强T2DM患者治疗依从性,改善血糖控制效果。Objective To evaluate the effect of diabetes self-management education（DSME） on therapeutic compliance in patients with type 2 diabetes mellitus（T2DM）.Methods A total of 980 T2DM patients were assigned to receive DSME （group A,514 cases） or conventional education（group B,466 cases）.The diabetes knowledge score,therapeutic compliance and the levels of glycosylated hemoglobin 1c（HbA1c）,fasting blood glucose（FBG） and post meal 2-h blood glucose （PBG） were evaluated before and after intervention.Results The scores of diabetes knowledge were increased much more in group A than those in group B（P0.05）.Therapeutic compliance,the levels of HbA1c, FBG and PBG were better in group A than those in group B（P0.01）.ConclusionDSME could enhance the therapeutic compliance and improve the outcomes in controlling blood glucose in T2DM patients.

关 键 词：糖尿病 自我管理教育 治疗依从性 

分 类 号：R587[医药卫生—内分泌]