建立糖尿病健康教育中心实现血糖控制达标  

Achieving the standard of blood sugar based on the establishment of diabetes health education center

作　　者：伯伟[1] 汪四虎[1] 任红霞[1] 黄德秀[1] 朱乐凤[1] 

机构地区：[1]安徽医科大学附属安庆医院内分泌科,安徽安庆246003

出　　处：《安徽医药》2013年第4期605-606,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的观察加强糖尿病教育后患者的血糖达标情况。方法选取85例门诊2型糖尿病患者,随机分为对照组(41例)和教育组(44例),前者根据病史特点使用降糖方案治疗及调整,教育组在前者的基础上参加规范性健康教育,时间6个月,观察两组FBG,P2hBG,HbA1c,BMI的变化。结果两组FBG、P2hBG、HbA1c、BMI均下降,教育组优于对照组,差异有统计学意义(P<0.05)。教育组和治疗组的FBG、P2hBG、HbA1c达标率分别为(54.5%和31.7%)、(36.4%和17.1%)、(43.2%和22%),教育组与对照组比较,教育组率更高,差异有统计学意义(P<0.05)。结论加强糖尿病教育,使患者正确认识糖尿病及相关知识,利于血糖控制达标。Objective To observe the situation of standard achievement of patients after enhanced diabetes education. Methods 85 pa- tients of type 2 diabetes were randomly assigned into the reference group（41 patients）and the education group（44 patients）. The mem- bers of the former group had undertaken therapy and regulation with glucose-lowering strategy according to the disease history, while the members of the education group added regular health education;the variations of fasting blood glucose （FBG） ,2-hour postprandial blood sugar（ P2hBG）, glycosylated hemoglobin（ HbA1 c）and body mass index（BMI） had been observed for 6 months. Results FBG,P2hBG, HbA1 c and BMI were decreased for both two groups, wherein the education group was better than the reference group, and the differences had statistical significance（ P 〈 0.05 ）. For the education group and the reference group respectively, the standard achievement ratios of FBG,P2hBG, HbAlc were 54.5%/31.7% ,36.4%/17.1% and 43.2%/22% ;compared with the reference group,the education group had higher ratio of the standard achievement, the difference had statistical significance （P 〈 O. 05 ）. Conclusion Strengthening diabetes education can help patients understand the diabetes and related knowledge exactly, and facilitate the standard achievement of blood sugar.

关 键 词：糖尿病 2型 糖尿病教育 血糖 糖化血红蛋白 

分 类 号：R473.5[医药卫生—护理学]