一日门诊管理模式对2型糖尿病患者遵医行为、糖脂代谢和生活质量的影响  

Effect of one-day outpatient management model on compliance behavior,glycolipid metabolism and quality of life in Type 2 diabetes mellitus patients

作　　者：郭金奎 辛庆锋[1] 宋二军 GUO Jinkui;XIN Qingfeng;SONG Erjun(The Third Affiliated Hospital of Luohe Medical College,Luohe,Henan 462000,China)

机构地区：[1]漯河医学高等专科学校第三附属医院,河南漯河462002

出　　处：《现代医药卫生》2019年第5期664-667,共4页Journal of Modern Medicine & Health

摘　　要：目的研究一日门诊管理模式对2型糖尿病(T2DM)患者遵医行为、糖脂代谢和生活质量的影响。方法选取2016年6-12月在该院门急诊或住院部首次确诊的T2DM患者134例作为研究对象,采用随机数字表法将其分为对照组和观察组,每组67例。观察组患者采用一日门诊管理模式管理,对照组采用常规管理模式。观察所有患者糖尿病遵医行为量表评分、糖脂代谢指标水平和糖尿病生存质量特异性量表(DSQL)评分。结果干预12周后,观察组患者遵医行为量表评分明显高于对照组,差异有统计学意义(P<0.05);观察组空腹血糖、总胆固醇、三酰甘油、低密度脂蛋白-胆固醇、糖化血红蛋白和胰岛素抵抗指数等糖脂代谢指标均低于对照组,差异均有统计学意义(P<0.05);观察组DSQL量表各维度评分和总分均明显低于对照组,差异均有统计学意义(P<0.05)。结论一日门诊管理模式可改善T2DM患者的糖脂代谢、胰岛素抵抗和生活质量,可能与其能够明显提高T2DM患者的遵医行为密切相关。Objective To study the effect of one-day outpatient management model on compliance behavior,glycolipid metabolism and quality of life in patients with type 2 diabetes mellitus(T2DM).Methods A total of 134 patients with T2DM were randomly divided into control group and observation group,67 cases in each group.The patients in the observation group participated in the one-day outpatient management model,while the patients in the control group were routinely managed.Observed all patients′diabetes compliance scale,glycolipid metabolism index and diabetes quality of life scale(DSQL)scores.Results After 12 weeks of intervention,the score of compliance scale of patients in the observation group was significantly higher than that in the control group,the differences were statistically significant(P<0.05),and the indexes of glucose and lipid metabolism such as fasting blood glucose(FBG),total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),glycosylated hemoglobin(HbA1c)and insulin resistance index(HOMA-IR)in the observation group were all lower than those in the control group,the differences were statistically significant(P<0.05).The score and total score of DSQL scores in observation group were significantly lower than those in control group,and the difference was statistically significant between groups(P<0.05).Conclusion One-day outpatient management model can improve the glycolipid metabolism,insulin resistance and quality of life of T2DM patients,which may be closely related to improving the compliance behavior of T2DM patients.

关 键 词：糖尿病 2型 遵医行为 一日门诊 胰岛素抵抗指数 生活质量 

分 类 号：R589.1[医药卫生—内分泌]