并发症危害体验对血糖控制不良2型糖尿病患者的影响  

Effects of complication hazards experience on type 2 diabetes patients with poor glycemic control

作　　者：王丽娟[1] 高俊香[1] 康烁[1] 邱静静[1] 张玥[1] 赵秀君[1] 

机构地区：[1]河北医科大学第二医院内分泌科,石家庄050000

出　　处：《中华现代护理杂志》2016年第3期327-331,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨并发症危害体验对血糖控制不良2型糖尿病患者自我管理及糖化血红蛋白、血脂的影响.方法 将100例2型糖尿病住院患者按照随机数字表法分为观察组和对照组,对照组采用常规教育,观察组在常规教育的基础上进行并发症危害体验,同时对两组患者电话随访3个月,分别在干预前、干预后3个月评估患者的自我管理行为、糖化血红蛋白、血脂水平.结果 干预前两组自我管理行为、糖化血红蛋白、血脂结果 比较,差异无统计学意义（P〉0.05）;干预后3个月观察组合理饮食、规律运动、血糖监测、足部护理、预防处理高低血糖5个方面评分均高于对照组,差异有统计学意义（P〈0.05）;两组患者遵医用药维度评分比较,差异无统计学意义（P〉0.05）;干预后3个月观察组糖化血红蛋白、总胆固醇（TC）、三酯甘油（TG）、低密度脂蛋白（LDL）水平均低于对照组,差异有统计学意义（P〈0.05）.结论 并发症危害体验可以提高患者自我管理能力,改善2型糖尿病患者糖化血红蛋白、血脂控制水平.Objective To evaluate the effects of complications hazard experience on self-management behaviors, glycosylated hemoglobin and lipid among type 2 diabetes patients with poor glycemic control. Methods A total of 100 patients with type 2 diabetes were randomly divided into control group （50 cases） and intervention group （50 cases） by random number table. The patients of control group received routine diabetic education, while the patients of intervention group received the hazard experience of complications. All patients of two groups received telephone follow-up for 3 months. Their self-management behaviors, glycosylated hemoglobin and lipid were measured before and 3 months after the intervention. Results There was no statistically significant difference of the score in self-management behaviors, glycosylated hemoglobin and lipid between two groups before the intervention （P〉0. 05）. After 3 months intervention, the scores of balanced diet, regular exercise, blood glucose monitoring, foot care and the level of blood sugar handling in the intervention group were statistically higher than those in the control group （P 〈0. 05）. The score of fully compliance medication had no statistically significant difference between two groups after the intervention （P〉0. 05）. The glycosylated hemoglobin, total cholesterol （TC）, triglyceride （TG）, low density lipoprotein in the intervention group were statistically lower than those in the control group （P〈0. 05）. Conclusions Hazard experience of complications can improve self-management behaviors, glycosylated hemoglobin and lipid for type 2 diabetes patients with poor glycemic control.

关 键 词：糖尿病  2型 血脂异常 并发症 自我管理行为 糖化血红蛋白 

分 类 号：R473.5[医药卫生—护理学]