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作 者:刘小兰[1] 赵锡丽[1] 徐蔚蔚[1] 张丽[1] 蒋国萍[1]
机构地区:[1]重庆医科大学附属第二医院内分泌科,400010
出 处:《重庆医学》2014年第20期2554-2556,共3页Chongqing medicine
基 金:重庆市自然科学基金面上项目资助(csct2011jjzt0100)
摘 要:目的探讨糖尿病建档教育管理模式对糖尿病患者的运用效果。方法将该院收治的1 000例2型糖尿病患者随机分为实验组和对照组。两组患者均行健康教育,实验组在此基础上给以建档教育。对两组患者教育前和教育后1、3、6个月均进行遵医行为、一般代谢指标以及并发症发生情况比较。结果实验组患者在接受建档教育后一般代谢指标均优于对照组(P<0.05);患者在接受建档教育后遵医行为明显改善(P<0.05);随访中实验组患者出现并发症的例数明显低于对照组(P<0.05);两组患者教育后1、6个月生活质量均显著提高,实验组提高更为明显(P<0.05);教育后6个月实验组满意度为91.6%(458/500),对照组为68.2%(341/500),实验组满意度显著高于对照组(P<0.05)。结论对2型糖尿病患者实施建档教育管理模式,有助于改善患者代谢水平,降低并发症的发生,改善患者预后。Objective To explore the effect of applying the management model of educating diabetics in health knowledge and filinging relevant data .Methods 1 000 patients with type 2 diabetes in hospital were randomly assigned into the experimental group and the control group ,and all of them received health education .In addition ,relevant data were filed in the experimental group ,then the compliance behavior ,general metabolic indicators and occurrences of complications were compared before and after the education in 1 ,3 and 6 months between these two groups .Results The general metabolic indicators in experimental group were better than the control group(P〈0 .05);and the compliance behavior of the experimental group patients were improved obviously (P〈0 .05);and the cases of the patients with complications from random visit were also obviously lower in the experimental group (P〈0 .05) . After 1 month or 6 months ,the two groups of patients′qualities of life were significantly increased ,but the experimental group′was improved more obviously(P〈0 .05) .After 6 months ,the degree of satisfaction of the experimental group was 91 .6% (458/500) , the control group′was 68 .2% (341/500) .The satisfaction of experimental group was significantly higher than the control group (P〈0 .05) .Conclusion The management model to patients with type 2 diabetes could effectively improve patients′metabolic level and reduces the occurrences of complications and improves the therapeutic effect .
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