情境模拟结合个案管理模式随访对T2DM患者授权能力及血糖控制的影响  

Effect of situational simulation combined with case management follow-up on the authorized ability and glycemic control in patients with type 2 diabetes

作　　者：季红[1] 张玉梅[1] 黄勇[1] 

机构地区：[1]江苏省丹阳市人民医院,212300

出　　处：《中外女性健康研究》2015年第16期1-2,共2页Women＇s Health Research

基　　金：江苏省镇江市社发科技支撑项目（SH2013103）;江苏省镇江市科技发展指导项目（FZ2013003）

摘　　要：目的：探讨情境模拟结合个案管理模式随访对T2DM患者授权能力及血糖控制的效果。方法：选取在本院内分泌科住院的T2DM患者200例，随机分成对照组、试验组各100例，最终进入数据分析的有对照组96例（入组100例，脱落4例），试验组97例（入组100例，脱落3例），对照组在住院期间实施常规教育，试验组在常规教育基础上结合情境模拟教育，出院后对照组6个月后门诊随访，试验组采用个案管理模式进行随访，随访6个月，并分别在干预前、干预后6个月评价患者糖尿病授权能力、糖化血红蛋白、空腹、餐后血糖及血脂等代谢指标。结果：试验组干预后糖尿病患者授权能力各条目得分均明显高于对照组，差异有统计学意义（P〈0.05）；干预后试验组糖化血红蛋白、空腹、餐后血糖明显优于对照组，差异有统计学意义（P〈0.05）。结论：情境模拟结合个案管理模式随访能提高患者糖尿病授权能力，明显改善血糖控制。Objective： To investigate the effect of situational simulation combined with case management follow-up on the authorized ability and glycemic control in patients with type 2 diabetes. Methods： 200 cases of hospitalized patients with type 2 diabetes were randomly divided into a control group and an experimental group with 100 cases each. The final data analysis included 96 cases of the control group （n=100, 4 cases dropped out） and 97 cases of the experimental group （n=100, 3 cases dropped out）. During hospitalization, the control group received routine education; the experimental group received routine education and situational education. 6 months after discharge, the control group received outpatient follow-up and the experiment group received the case management model of follow-up. The authorized ability, glycosylated hemoglobin, fasting blood glucose, postprandial blood glucose, blood lipids and other metabolic parameters were evaluated before and after the experiment. Results： After the intervention, authorized capacity of each item score were significantly higher than the control group, the difference was statistically significant （P〈0.05）; glycosylated hemoglobin, fasting blood glucose, postprandial blood glucose was significantly decreased as compared with the control group and the difference was statistically significant （P〈0.05）. Conclusion： The authorized ability and glycemic control of diabetic patients was significantly improved after situational simulation combined with case management follow-up.

关 键 词：情境模拟 个案管理 授权 糖尿病 

分 类 号：R595.6[医药卫生—内科学]