系统性自我管理教育模式对社区2型糖尿病患者血糖水平的影响.docVIP

2012,37(4) http 2012,37(4) ; http://xbyx, I Cent South Univ(Med Sci) 355 系统性自我管理教育模式对社区2型糖尿病患者血糖水平的影响 李雪兵,周秋红2,邹富珍3,吴辽芳2,陈慧玲2,刘泽灏2 (中南大学湘雅医院 1.老年病科；2内分泌科；3.美容整形科，长沙410008) [摘要]目的：探讨系统性自我管理教育对社区2型糖尿病患者血糖水平的影响。方法：随机选取长沙市10个 社区，分为干预组与对照组各5个，共纳入2型糖尿病患者248人为研究对象。干预组予以系统性自我管理教育， 对照组予以常规社区教育，干预期均为一年半。干预前和干预后分别对两组患者予以空腹血糖(FPG)、 餐后2h 血糖 (2hPG)、 糖化血红蛋白(HbAlc) 测定，对比分析两组患者血糖水平改善情况。 结果： 两组患者FPG,2hPG,HbA1c 干预前差异均无统计学意义(P0.05); 干预后差异均有统计学意义(分别P0.01,P0.05,P0.01)。 干预组 FPG, 2hPG,HbAIc 干预后均较干预前明显改善(P0.0I);对照组FPG 改善不明显(P0.05),2hPG,HbAlc 改善较明显 (分别P0.01,P0.05)。 结论：系统性自我管理教育能有效改善社区2型糖尿病患者血糖水平，值得进一步推广。 [关键词] 社区；2型糖尿病；自我管理；空腹血糖；餐后2h 血糖；糖化血红蛋白 DOI:10.3969/j.issn.1672-7347.2012.04.006 Effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes LIXuebing,ZHOU Qiuhong,ZOU Fuzhen3,WU Liaofang, CHEN Huiling,LIUZehao2 (1.Department ofGeriatrics; 2. Department ofEndocrinology;3. Department ofBurns and Traumatology, Xiangya Hospital, Central South University, Changsha 410008, China) ABSTRACTObjective: To explore the effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes. ABSTRACT Methods: A total of 248 patients with type 2 diabetes from 10 communities of Changsha were randomized into intervention or control groups in February 2009. The intervention group received systematic self-management education, while the other received routine community education. Before and after intervention, fasting plasma glucose, 2 h postprandial plasma glucose and glycosylated hemoglobin were measured, and evaluated between the 2 groups. Results: Fasting plasma glucose, 2 h postprandial plasma glucose and glycosylated hemoglobin levels of patients with diabetes from the two groups were gener