2型糖尿病患者血糖的规范化管理  

Standardized management of blood glucose in type 2 diabetes patients

作　　者：代莉莉[1] 张凤芝[2] 段艳芹[2] 朱丽[3] 

机构地区：[1]淮北市人民医院护理部,安徽淮北235000 [2]淮北市人民医院血液内分泌科,安徽淮北235000 [3]淮北市人民医院糖尿病门诊,安徽淮北235000

出　　处：《护理学杂志》2014年第23期26-28,共3页

基　　金：安徽省淮北市科学技术成果(淮科鉴字[2013]第23号)

摘　　要：目的探讨规范化达标管理对2型糖尿病患者自我管理能力的影响。方法整群抽取217例2型糖尿病患者,进行基线资料调查,建立糖尿病达标管理数据库,进行为期1年的规范化达标管理。结果随访1年后,2型糖尿病患者自我管理能力得分除足部护理维度外,均有不同程度上升,但均低于良好水平,得分最高的为饮食控制维度(77.54±18.03)分;除足部护理外,干预后患者自我护理能力显著提高(P<0.05,P<0.01)。结论规范化达标管理是一种有效的管理模式,通过对患者进行个性化治疗、糖尿病强化教育、血糖监测随访等措施,可提高患者自我管理能力。Objective To evaluate the effect of standardized management on improving self-management ability of type 2 diabetes patients.Methods We selected 217 patients with type 2 diabetes by cluster sampling,collected baseline information,established database for diabetes management,and provided one-year standardized management to these patients.Results The scores of self-management ability except the subscale of foot care were significantly improved after 1 year of follow-up compared to the base line values （P＜0.05,P＜0.01）,but were still lower than good level.The subscale of dietary control ranked the highest,with the score being 77.54± 18.03.Conclusion Standardized management which is achieved by person-centered treatment,intensive diabetic education,and follow-up for blood glucose monitoring,is effective on improving self-management ability of patients.

关 键 词：糖尿病 2型 血糖 信息管理 规范化管理 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]