系统性健康教育对糖耐量减低病人行为方式干预及转归的影响  

Influence of systematic health education intervention on behavior and prognosis for patients with impaired glucose tolerance

作　　者：李霞[1] 尹彦亮[1] 田双[1] 刘艳丽[1] 曾超[1] 沈彦明[1] 

机构地区：[1]山东省立医院集团东营医院保健科,山东省东营市257091

出　　处：《实用老年医学》2017年第2期192-195,共4页Practical Geriatrics

摘　　要：目的探讨系统性健康教育对糖耐量减低(IGT)病人行为方式的干预及转归的影响。方法选择已确诊的IGT病人120例,随机分为试验组和对照组,每组60例。试验组接受系统性糖尿病健康教育,对照组接受常规糖尿病健康教育,干预1年。观察1年后2组病人的血糖血脂控制及行为方式改变情况,统计糖耐量正常转化率和糖尿病转化率,并进行比较分析。结果干预1年后试验组体质量指数(BMI)、空腹血糖(FBG)、餐后2 h血糖、糖化血红蛋白、三酰甘油、胆固醇、低密度脂蛋白胆固醇均明显低于干预前和对照组同期水平,差异有统计学意义(P<0.05),在饮食控制、积极运动、定期复诊、改变不良习惯、血糖监测等行为方式方面,与对照组病人比较,试验组行为方式改变更明显(P<0.05)。试验组糖耐量正常转化率显著高于对照组(P<0.05),而糖尿病转化率低于对照组(P<0.05)。结论系统性健康教育能有效改变IGT病人行为方式,充分调动病人的主观能动性,使其积极配合治疗,增加病人糖耐量正常转化率,降低糖尿病转化率。Objective To explore the influence of systematic health education intervention on behavior and prognosis for patients with impaired glucose tolerance（ IGT）. Methods 120 cases with IGT were randomly divided into trial group and control group. Patients in trial group received systematic health education,while patients in control group received routine health education for one year. After one year,the changes of blood glucose and lipid,and behavior of two groups were observed. The normal conversion and diabetes conversion rates between two groups were recorded and compared. Results After one year of follow-up,the body mass index,fasting glucose,2 h postprandial blood glucose,glycated hemoglobin,triglycerides,total cholesterol,low-density lipoprotein cholesterol in trial group were significantly lower than those before the intervention and those of control group（ P〈0. 05）. The behaviors in diet,active exercise,regular follow,bad habits,blood glucose monitoring of patients in trial group were more significantly changed than those of control group（ P0. 05）. Normal glucose conversion rate in the trial group was significantly higher（ P〈0. 05）,while the conversion rate of diabetes was significantly lower than that of control group（ P〈0. 05）. Conclusions Systematic health education is effective for changing the behaviors in patients with IGT,and it can fully mobilize the patients＇ initiative to actively receive treatment,and increase normal glucose conversion rate,reduce the conversion rate of diabetes.

关 键 词：系统性健康教育 糖耐量减低 行为方式 疾病转归 

分 类 号：R587.1[医药卫生—内分泌]