糖尿病基地教育联合同伴教育对2型糖尿病患者效果观察  

Effect of diabetes base education combined with peer education on type 2 diabetes

作　　者：杨松[1] 任华栋 谷媛媛[1] 李兆亮[1] 杨杰[1] Yang Song;Ren Huadong;Gu Yuanyuan;Li Zhaoliang;Yang Jie(Department of Endocrinology,Taian City Central Hospital,Taian 271000,China;Taishan Medieial University,Taian 271000,China)

机构地区：[1]山东省泰安市中心医院内分泌二科,271000 [2]泰山医学院,山东省泰安271000

出　　处：《中国医师杂志》2018年第8期1176-1179,共4页Journal of Chinese Physician

基　　金：泰安市科技发展计划(2016NS1135)~~

摘　　要：目的观察糖尿病基地教育联合同伴教育对2型糖尿病患者血糖控制、代谢指标及自我管理水平的影响。方法选取2型糖尿病患者150例,按随机数字表法分为3组。A组接受糖尿病基地教育,B组接受糖尿病同伴教育,C组接受同伴教育联合基地教育。观察治疗前及治疗6个月后三组空腹血糖(FPG)、餐后2 h血糖(2 h PG)、HbA1c、甘油三酯(TG)、胆固醇(TC)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)、收缩压、舒张压、BMI的变化,同时对糖尿病自我管理行为进行治疗前后评估。结果经过6个月的干预,三组患者FPG、2 h PG、HbA1c、TG、TC、LDL-C、HDL-C、血压及BMI等代谢指标较治疗前均有明显改善(P<0.05)。A组与B组在血糖控制及代谢指标的改善差异无统计学意义(P>0.05)。C组在血糖控制指标(FPG、2 h PG、HbA1c)及血脂改善上较A、B组有明显优势(P<0.05)。结论基地教育联合同伴教育管理模式能够改善2型糖尿病患者血糖控制水平及血脂水平,能够促进2型糖尿病患者自我管理行为的提高。ObjectiveTo observe the effect of diabetes base education combined with peer education on blood glucose control, metabolic index and self management level in type 2 diabetes patients.Methods150 patients with type 2 diabetes were randomly divided into 3 groups. Group A received diabetes base education, Group B received peer education group, and group C received peer education joint base education group. Before treatment and 6 months after treatment, fasting blood glucose （FPG）, postprandial blood glucose （2 h PG）, glycosylated hemoglobin （HbA1c）, triglyceride（TG）, cholesterol （TC）, low density lipoprotein （LDL-C）, high density lipoprotein （HDL-C）, systolic blood pressure, diastolic blood pressure change, body mass index （BMI） were observed, so as to evalute the diabetes self-management behavior at the same time before and after treatment.ResultsAfter 6 months of intervention, FPG, 2 h PG, HbA1c, TG, TC, LDL-C, HDL-C, blood pressure, body weight and other metabolic indicators in the three groups were significantly improved （P〈0.05）. There was no significant difference between the group A and group B on the improvement of blood glucose control and metabolic indexes （P〉0.05）. In group C, the blood glucose control index （FPG, 2 h PG, HbA1c） and the improvement of blood lipid were obviously superior to those in the group A and B （P〈0.05）.ConclusionsThe combination of base education and peer education can improve blood glucose control and blood lipid level in patients with type 2 diabetes, and can also promote self-management behavior in patients with type 2 diabetes.

关 键 词：糖尿病 2型 健康教育 

分 类 号：R473.5[医药卫生—护理学]