社区2型糖尿病患者短期自我管理效果分析  

Analysis of the effect of short term self-management of the patients with type 2 diabetes mellitus in the community

作　　者：赵超[1] 沈德蕾 许闯[1] 

机构地区：[1]上海市徐汇区枫林街道社区卫生服务中心,上海200030

出　　处：《上海医药》2016年第10期52-54,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市社区卫生协会2015年度糖尿病健康管理项目[沪社卫协(2015)7号]

摘　　要：目的:观察社区2型糖尿病患者短期(3个月)自我管理效果。方法:2015年7月抽取糖尿病管理系统中102例2型糖尿病患者,分为研究组54例和对照组48例。两组患者均在常规药物治疗基础上,给予干预管理3个月,研究组采用糖尿病自我支持管理,对照组则采用常规社区综合干预。分别记录两组患者血压,体质指数(BMI)以及总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白-胆固醇(LDL-C)、高密度脂蛋白-胆固醇(HDL-C)、空腹血糖(FBG)和糖化血红蛋白(Hb Alc)水平,并进行组间比较。采用糖尿病管理自我效能量表评估患者糖尿病自我管理能力。结果:与干预前比较,研究组患者的血压、BMI以及TC、LDL-C、HDL-C、Hb A1c水平均明显改善(P<0.05);对照组患者的收缩压和TC、LDL-C水平均显著降低(P<0.05)。研究组患者收缩压明显低于对照组(P<0.05);血压、TC、LDL-C水平控制达标率显著高于对照组(P<0.05),糖尿病自我管理总分提高明显高于对照组(P<0.01)。结论:糖尿病自我支持管理可改善2型糖尿病患者血压,明显提高部分指标控制达标率以及患者的自我管理能力,值得社区推广应用。Objective：To observe the effect of short term（3 months）self-management of type 2 diabetic patients in the community.Methods：In July 2015,102 cases of type 2 diabetes were selected from the diabetic management system and divided into a research group with 54 cases and a control group with 48 cases.Based on the conventional medical treatment,the two groups were given interventional management for 3 months.The research group was given the diabetic self-support management,and the control group was given the conventional community comprehensive intervention.The levels of blood pressure,body mass index（BMI）,total cholesterol（TC）,triacylglycerol（TG）,low density lipoprotein cholesterol（LDL-C）,high density lipoprotein cholesterol（HDL-C）,fasting blood glucose（FBG）and glycosylated hemoglobin（Hb Alc）of the two groups were recorded before and after the management,respectively,and were compared between them.The diabetic self-management ability of the patients was evaluated with diabetic management self-efficacy scale in Chinese version.Results：Compared with before intervention,the levels of blood pressure,BMI,TC,LDL-C,HDL-C,and Hb A1 c of the patients in the research group were improved obviously（P〈0.05）.Meanwhile,the levels of systolic blood pressure（SBP）,TC,and LDL-C of the patients in the control group were decreased markedly（P〈0.05）.The SBP of the patients in the research group was significantly lower than that of the patients in the control group（P〈0.05）.The control compliance rates of the levels of blood pressure,TC,and LDL-C were significantly in the research group than those in the control group（P〈0.05）.The improvement of self-management diabetic sores was significantly higher in the research group than that in the control group（P〈0.01）.Conclusion：The diabetic self-support management can improve the blood pressure of type 2 diabetic patients and increase the control compliance rate of some indicators and the selfmanagement ability of type 2 diabe

关 键 词：2 型糖尿病 自我管理 效果分析 

分 类 号：R473.2[医药卫生—护理学]