城市社区不同糖尿病管理方法对自我管理知识和技能的影响分析  

Effectiveness analysis of different kinds of diabetes management methods on the knowledge and skills of patients' self-management in urban community

作　　者：崔学利 李园[1] 张娟 施小明[3] 

机构地区：[1]中国疾病预防控制中心慢性病防治与社区卫生处,北京102206 [2]北京市朝阳区三里屯社区卫生服务中心,北京100027 [3]中国疾病预防控制中心环境与健康相关产品安全所,北京100021

出　　处：《中华疾病控制杂志》2017年第3期241-244,共4页Chinese Journal of Disease Control & Prevention

摘　　要：目的比较社区常见的3种不同管理方法对2型糖尿病患者自我管理知识和技能掌握的效果。方法2012年8月~10月社区门诊招募213例2型糖尿病患者,按简单随机及自愿原则,分为标准组、强化组和综合组,人数分别为106人、75人、32人,从2012年11月开始分别按照不同的管理方法进行为期18个月的分组管理。比较管理前后3组空腹血糖、糖化血红蛋白的达标率、糖尿病相关知识知晓及行为改善情况。结果干预前3组的空腹血糖及糖化血红蛋白达标率差异均无统计学意义(均有P>0.05),管理18个月后空腹血糖、糖化血红蛋白均下降,3组之间达标率差异均有统计学意义(均有P<0.05)。3组患者对糖尿病知识知晓情况、自我管理行为比研究初始有所改善,改善率差异均有统计学意义(均有P<0.05)。结论综合管理更有利于糖尿病患者的病情控制,提高空腹血糖和糖化血红蛋白的达标率以及患者对糖尿病相关知识及技能的掌握率。Objective To investigate and compare the effectiveness of three different management methods for diabetics patients, so as to master the knowledge and skills of their self-management. Methods Totally 213 patients with diabetes in urban community were enrolled in this study in October 2012 and randomly divided into 3 groups： control group （106 cases） , strengthening group （75 cases） and comprehensive group （32 cases）. During 18 months, different grouping managements were applied to the patients in 3 groups. Then a comparative analysis was performed for Fasting plasma glucose （FPG） , Hemoglobin A1c （HbA1 c ） , relevant knowledge of diabetes and behavior improvement of these patients before and after management. Results The differences of control rates of FPG and HbAI c among 3 groups before grouping management had hot statistical significance （all P 〉 0. 05 ）. After 18 months of management, both the values of FPG and HbA1c of the patients had declined and the differences among 3 groups showed statistically significance （ all P 〈0. 05 ）. The knowledge of diabetes and self-management behavior of the patients have improved after grouping managements and the Amprovement rates have statistical significant （ all P 〈 0. 05 ）. Conclusions Management of comprehensive group is more beneficial to control the development of diabetes. This kind of management is more efficient in improvement of control rates of FPG and HbA1 c and increasing the mastery rates of the knowledge and skills for patients with diabetes.

关 键 词：糖尿病 2型 疾病管理 问卷调查 

分 类 号：R587.1[医药卫生—内分泌]