系统性自我管理教育模式对社区2型糖尿病患者血糖水平的影响  

Effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes

作　　者：李雪兵[1] 周秋红[2] 邹富珍[3] 吴辽芳[2] 陈慧玲[2] 刘泽灏[2] 

机构地区：[1]中南大学湘雅医院老年病科,长沙410008 [2]中南大学湘雅医院内分泌科,长沙410008 [3]中南大学湘雅医院美容整形科,长沙410008

出　　处：《中南大学学报（医学版）》2012年第4期355-358,共4页Journal of Central South University ：Medical Science

基　　金：湖南省科技厅课题(2009SK3180)~~

摘　　要：目的:探讨系统性自我管理教育对社区2型糖尿病患者血糖水平的影响。方法:随机选取长沙市10个社区,分为干预组与对照组各5个,共纳入2型糖尿病患者248人为研究对象。干预组予以系统性自我管理教育,对照组予以常规社区教育,干预期均为一年半。干预前和干预后分别对两组患者予以空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)测定,对比分析两组患者血糖水平改善情况。结果:两组患者FPG,2hPG,HbA1c干预前差异均无统计学意义(P>0.05);干预后差异均有统计学意义(分别P<0.01,P<0.05,P<0.01)。干预组FPG,2hPG,HbA1c干预后均较干预前明显改善(P<0.01);对照组FPG改善不明显(P>0.05),2hPG,HbA1c改善较明显(分别P<0.01,P<0.05)。结论:系统性自我管理教育能有效改善社区2型糖尿病患者血糖水平,值得进一步推广。Objective：To explore the effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes.Methods：A total of 248 patients with type 2 diabetes from 10 communities of Changsha were randomized into intervention or control groups in February 2009.The intervention group received systematic self-management education,while the other received routine community education.Before and after intervention,fasting plasma glucose,2 h postprandial plasma glucose and glycosylated hemoglobin were measured,and evaluated between the 2 groups.Results：Fasting plasma glucose,2 h postprandial plasma glucose and glycosylated hemoglobin levels of patients with diabetes from the two groups were generally comparable at baseline（P0.05）.After the intervention,these three indicators were all statistically significant between the 2 groups（P0.01,P0.05,P0.01,respectively）.After intervention,blood sugar levels in the intervention group were obviously improved（P0.01）,while in the control group,fasting plasma glucose was not statistically improved（P0.05）,2 h plasma glucose and glycosylated hemoglobin levels were improved（P 0.01,P0.05,respectively）.Conclusion：Systematic self-management education effectively encourages patients with type 2 diabetes to control their blood sugar levels,and deserves further promotion.

关 键 词：社区 2型糖尿病 自我管理 空腹血糖 餐后2H血糖 糖化血红蛋白 

分 类 号：R587.1[医药卫生—内分泌]