动态血糖监测联合针对性健康教育在2型糖尿病患者中的应用及对其自我管理行为改变的影响  

Application of Dynamic Blood Glucose Monitoring Combined with Tar⁃geted Health Education in Patients with Type 2 Diabetes Mellitus and the Effect on the Change of Self-management Behavior

作　　者：张群 ZHANG Qun(Department of Endocrinology,Xuzhou Cancer Hospital,Xuzhou 221000,Jiangsu,China)

机构地区：[1]徐州市肿瘤医院内分泌科,江苏徐州221000

出　　处：《糖尿病新世界》2024年第14期144-148,共5页Diabetes New World

摘　　要：目的 探讨动态血糖监测联合针对性健康教育对2型糖尿病患者自我管理行为改变的影响。方法 选取2022年1月—2023年6月徐州市肿瘤医院收治的120例2型糖尿病患者为研究对象,以护理方法的不同分成两组,每组60例。对照组给予常规血糖仪监测血糖和常规健康教育,观察组给予动态血糖监测联合针对性健康教育。对比两组血糖水平、自我管理行为、心理状态、生活质量。结果 干预后,观察组空腹血糖和餐后2 h血糖水平均低于对照组,差异有统计学意义(P均<0.05)。干预后,观察组糖尿病自我管理行为量表评分高于对照组,差异有统计学意义(P均<0.05)。干预后,观察组焦虑自评量表评分、抑郁自评量表评分均低于对照组,差异有统计学意义(P均<0.05)。干预后,观察组糖尿病患者生活质量评定量表评分低于对照组,差异有统计学意义(P<0.05)。结论 动态血糖监测联合针对性健康教育能明显控制2型糖尿病患者血糖水平,促进自我管理行为的改变,改善不良情绪,提高生活质量。Objective To explore the effects of dynamic blood glucose monitoring combined with targeted health edu-cation on the changes of self-management behavior of type 2 diabetes mellitus patients.Methods A total of 120 pa-tients with type 2 diabetes mellitus admitted to Xuzhou Cancer Hospital from January 2022 to June 2023 were se-lected as the research objects.They were divided into two groups according to different nursing methods,with 60 cases in each group.The control group was given routine blood glucose meter monitoring blood glucose and routine health education,and the observation group was given dynamic blood glucose monitoring combined with targeted health education.The blood glucose levels,self-management behavior,psychological state and quality of life were compared between the two groups.Results After intervention,the levels of fasting plasma glucose and 2-hour post-prandial plasma glucose in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).After intervention,the scores of Summary of Self-care Activities in the observa-tion group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After intervention,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).After inter-vention,the Diabetic Quality of Life Rating Scale score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dynamic blood glucose monitoring com-bined with targeted health education can significantly control the blood glucose levels of patients with type 2 diabetes mellitus,promote the change of self-management behavior,improve bad mood and improve the quality of life.

关 键 词：动态血糖监测 针对性健康教育 2型糖尿病 不良情绪 生活质量 

分 类 号：R47[医药卫生—护理学]