访谈型用药指导对2型糖尿病患者血糖相关指标的影响研究  

The Influence Research of Interview in Medication Guidance of Related Indexes for Blood Glucose in Patients with Type 2 Diabetes Mellitus

作　　者：李竹岩[1] 

机构地区：[1]山东省邹城市人民医院,山东邹城273500

出　　处：《中国医学创新》2015年第19期54-56,共3页Medical Innovation of China

摘　　要：目的:探讨访谈型用药指导对2型糖尿病(T2DM)患者血糖相关指标的影响。方法:回顾性分析2013年1月-2014年12月在本院诊治200例T2DM患者的临床资料,采用随机数字表法将患者分为两组,每组各100例。对照组给予常规用药指导,观察组给予访谈型用药指导措施,比较两组患者的血糖情况。结果:干预前,两组患者的FBG、2 h BG及Hb A1c水平比较差异无统计学意义(P>0.05);干预1个月后,观察组指标分别为(5.82±0.42)mmol/L、(7.41±0.66)mmol/L、(5.38±0.32)%,对照组分别为(7.85±0.72)mmol/L、(9.63±0.64)mmol/L、(7.21±0.56)%,两组的血糖指标均较干预前明显改善,观察组患者改善程度明显优于对照组,差异有统计学意义(P<0.05)。干预前两组的用药知识掌握率分别为20.0%与16.0%,两组比较差异无统计学意义(P>0.05);干预后两组的用药知识掌握率均较干预前明显改善,分别为96.0%与80.0%,观察组的改善情况明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论:访谈型用药指导措施能够显著改善患者的血糖情况,提高患者的合理用药知晓率。Objective：To investigate the interview medication guide for type 2 diabetes mellitus（T2DM） index influencing the blood sugar.Method：The clinical data of diagnosis and treatment of 200 T2 DM patients were retrospective analyzed from January 2013 to December 2014 in our hospital,and randomly divided into two groups according the method of random number table,100 cases in each group.The control group received routine medication guidance,the observation group was given interview medication guidance measures,the blood sugar level statistical of two groups were compared.Result：Before the intervention,the difference of two groups had no statistically significant（P〈0. 05）;1 month after the intervention,the observation group index were（5.82±0.42）mmol/L,（7.41±0.66）mmol/L and（5.38±0.32）%,the control group were（7.85±0.72）mmol/L,（9.63±10.64）mmol/L and（7.21±0.56）%,blood glucose index of the two groups were compared with that before the intervention significantly improved,the patients in observation group were significantly better than the improved degree the control group,the differences were statistically significant（P〈0. 05）.The two groups before the intervention of medication knowledge rates were 20% and 16%,with no significant difference（P〉0. 05）;intervention of two groups after medication knowledge rate than before the intervention significantly improved,respectively 96% and 80%,the improvment the situation of the observation group was significantly higher than that in the control group,the difference was statistically significant（P〈0. 05）.Conclusion：The interview medication guidance measures can significantly improve blood sugar control of patients,improve the rational use of drugs in patients with known rate.

关 键 词：2型糖尿病 访谈 用药指导 血糖波动 药剂 

分 类 号：R587.1[医药卫生—内分泌]