分阶段糖尿病达标管理在糖尿病健康教育中的应用效果  

Application of Staged Diabetes Targeting Management in Health Education

作　　者：朱乐凤[1] 任红霞[1] 汪四虎[1] 吴方来[1] 黄大祥[1] 黄德秀[1] 汪银银[1] 刘晶晶[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：《实用临床医学（江西）》2015年第7期85-88,共4页Practical Clinical Medicine

摘　　要：目的探讨分阶段糖尿病达标管理模式(SDTM)在糖尿病健康教育中的应用效果。方法将120例2型糖尿病(T2DM)患者按随机数字表法分为观察组和对照组,每组60例。观察组采用SDTM进行健康教育与管理,对照组采用一般的糖尿病教育与管理。6个月后,比较2组血糖、血脂、血压(BP)、体质量指数(BMI)等指标的变化。结果健康教育后2组空腹血糖(FBG)、餐后2h血糖(P2hBG)、糖化血红蛋白(HbA1c)、胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白(LDL)、BP、BMI均较教育前显著降低(P<0.05),观察组FBG、P2hBG、HbA1c、TC、TG、LDL降低较对照组更为显著(P<0.05)。观察组FBG、P2hBG、HbA1c、TC、TG、LDL达标率较对照组显著升高(P<0.05)。结论 SDTM能有效促进T2DM患者血糖、血脂的控制,实现两者达标。Objective To investigate the efficacy of staged diabetes targeting management (SDTM)in health education.Methods A total of 120 patients with type 2 diabetes mellitus (T2DM)were randomly assigned to receive either SDTM(observation group,n=60)or general education and management(control group,n = 60).After 6 months,blood glucose,blood lipid, blood pressure(BP)and body mass index(BMI)were measured in both groups.Results The BP, BMI and levels of fasting blood glucose(FBG),2-hour postprandial blood glucose(P2hBG),glyco-sylated hemoglobin (HbA1c),cholesterol (TC),triglyceride (TG)and low density lipoprotein (LDL)were significantly reduced in both groups after health education(P < 0.05).Compared with control group,SDTM significantly decreased the levels of FBG,P2hBG,HbA1c,TC,TG and LDL and obviously increased the control rates of these indexes(P <0.05).Conclusion SDTM can effectively control the blood glucose and lipid levels in patients with T2DM.

关 键 词：糖尿病 健康教育 分阶段糖尿病达标管理 

分 类 号：R473.58[医药卫生—护理学]