个体化指导在门诊2型糖尿病患者自我管理中的作用  

Effects of individualized instruction on the self- management of outpatient with type 2 diabetes

作　　者：司冬芹 粱军[1] 刘学奎[1] 窦连军[1] 龚莹[1] 王玉[1] 邹彩艳[1] 

机构地区：[1]徐州市中心医院内分泌科,江苏徐州221009

出　　处：《徐州医学院学报》2016年第2期131-133,共3页Acta Academiae Medicinae Xuzhou

基　　金：江苏省卫生厅重大科研项目多中心合作课题（K200608）;六大人才高峰课题（2013-WSN-013）;江苏省卫生厅资助课题（H201356）;徐州市医学领军人才资助课题

摘　　要：目的探讨一对一个体化指导在2型糖尿病患者自我管理中的作用。方法将在我院内分泌门诊接受正规治疗的2型糖尿病患者124例分为两组，每组62例，A组为对照组，B组为一对一个体化指导组，对两组患者进行为期6个月的随访。观察患者随访前后体重、血压、糖化血红蛋白、空腹血糖及糖尿病认知的变化。结果A组患者失访8例、脱落12例。随访6个月后，B组患者的血压、糖化血红蛋白、空腹血糖较随访前明显下降（P〈0．01），A组患者血压、空腹血糖无明显下降。结论一对一个体化指导的自我管理教育方式能增强门诊2型糖尿病患者治疗的依从性，增强自我管理能力，有利于糖尿病患者的血糖控制和提高生活质量。Objective To explore self - management education of type 2 diabetic patients through individualized in- struction. Methods A total of 124 type 2 diabetic outpatients who were being treated in our hospital were included in the current study. They were divided into two groups （n = 62 ） ： a control group （A） and an individualized instruction group （B）. All patients were followed up for 6 months. Then, their changes in body weight, blood pressure, blood glu- cose （gtyeosylated hemoglobin and fasting blood glucose） and their knowledge about diabetics before and after follow - up visit were recorded. Results There were 8 cases of lost to follow - up and 12 cases of drop - out in Group A. Six months after follow - up visits, The patients in Group B presented decreases in blood pressure, glycosylated hemoglobin, fasting blood glucose compared with those before follow - up visits. Conclusion Based on individualized instruction, self - management education of diabetic outpatients can improve compliance, blood glucose control and quality of life.

关 键 词：糖尿病 糖尿病专科教育护士 个体化指导 

分 类 号：R473.5[医药卫生—护理学]