血糖形态管理对基础胰岛素治疗患者血糖和行为的影响  

Effect of glucose pattern management on glycemic control and behaviors in patients using basal insulin

作　　者：陈娜[1] 吴辽芳[1] 田京玉[1] 邓姗[1] 

机构地区：[1]中南大学湘雅医院内分泌科,长沙410008

出　　处：《临床与病理杂志》2017年第10期2203-2208,共6页Journal of Clinical and Pathological Research

基　　金：雅礼协会贾氏基金项目(2013CC02)~~

摘　　要：目的:探讨血糖形态管理对基础胰岛素治疗患者的血糖和行为的影响。方法:选择2016年3至7月在中南大学湘雅医院内分泌科住院的使用基础胰岛素的糖尿病患者为研究对象,住院期间利用血糖形态管理"五步法"对患者实施管理,出院后定期短信及电话回访,观察3个月后患者空腹血糖达标率及行为目标达成情况,比较干预前后糖化血红蛋白及解决高、低血糖问题的技能。结果:120例患者完成了随访,患者的空腹血糖达标率为88%,糖化血红蛋白显著下降(P<0.001),行为目标达成率约80%,更多的患者获得了解决高、低血糖问题的技能。结论:血糖形态管理可以改变基础胰岛素治疗自我管理行为,帮助患者获得解决高、低血糖问题的技能;可能对基础胰岛素治疗患者的血糖水平有积极的影响,但仍需证实。Objective： To assess the effectiveness of a glucose pattern management program on glycemic control and self-management behaviors in patients using basal insulin. Methods： This is a single-group repeated-measures design. Participants were 153 inpatients using basal insulin. The “5-step approach” was used to help know their target blood glucose; gather the data on BG levels, food intake, physical activity levels, medication doses, and stressors; look for patterns; assess possible relationships between BG values and behavior; and take actions. Outcomes were assessed at baseline and 3 months. Results： Thirty participants dropped out. About 88% of them reached the FPG control target （FPG ≤7.0 mmol/L）, HbA1C levels significantly reduced in 3 months （P〈0.001）. Almost 80% of the patients reached the behavior goal, the problem-solving skills in hyperglycemia and hypoglycemia had been improved. Conclusion： Blood glucose pattern management can facilitate behavior change, improve problem-solving skills in hyperglycemia and hypoglycemia, and may have some positive effects on glycemic control in patients using basal insulin, further study is needed.

关 键 词：血糖形态管理 基础胰岛素 血糖 行为 

分 类 号：R587.1[医药卫生—内分泌]