同伴教育在糖尿病前期患者中的应用效果分析  

Evalution of application effects of peer education on patients with pre-diabetes

作　　者：杨小娜[1] 黄贤恩[1] 张云[1] 林玲慧 戴福仁[1] 

机构地区：[1]温州医科大学附属第三医院,浙江瑞安325200

出　　处：《浙江医学教育》2015年第3期29-31,共3页Zhejiang Medical Education

基　　金：温州科技局2013年课题立项(编号:Y20130017)

摘　　要：目的:探讨同伴教育在糖尿病前期患者中的应用效果。方法:口服葡萄糖耐量试验(OGTT)筛选社区医院162例糖尿病前期患者,将8个社区的82例患者设为同伴组,便于开展同伴教育,另外12个社区的80例患者设为对照组,采用常规教育管理。2组均干预15个月,于干预前后记录2组患者空腹血糖(FPG)、餐后2h血糖(2h PG)、糖化血红蛋白(Hb A1C)、自我管理量表得分,记录糖尿病前期患者进展为糖尿病的发生率。结果:同伴组FPG、2h PG、Hb A1C干预前后差值显著低于对照组,自我管理量表得分显著高于对照组,差异有统计学意义(P<0.05);干预15个月后,同伴组出现4例进展为糖尿病,而对照组出现9例,2组糖尿病发生率比较差异有统计学意义(P<0.05)。结论:同伴教育可以显著改善糖尿病前期患者血糖水平,提高自我管理能力,降低糖尿病前期进展为糖尿病的风险,具有重要的临床意义。[ Objective] To explore the application effects of peer education on patients with prediabetes. [ Method ] 162 cases of patients with pie- diabetes were chosen with OGTF, and 82 patients in eight communities were set as peer group, the other 80 patients were set as control group. Both of this two groups were checked the FPG,2hPG, HbA1C and self- management scale score before and after the intervention and recorded the rate of changefrom pre- diabates to disbates. [ Result ] It was shown that FPG,2hPG, HbA1C in peer group before or after the intervention were significantly lower than thatof control group, but the self- management scale score was significantly higherthan that of control group. There was significant difference be- tween two groups. （ P 〈 0.05） ; After intervention for 15 months, the rate of change from pre - diabates to diabetes in peer group （4/82） was significantly lower than that in control group （9/80）,the difference was statistically significant （ P 〈 0.05）. [ Conclusio]Peer education can significantly decreaseblood sugar levels, improve the ability of self- management, reduce the risk of lore - diabetes developed into diabetes, which has important clinical significance.

关 键 词：同伴教育 糖尿病前期 自我管理 血糖 

分 类 号：R473[医药卫生—护理学]