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中国初级卫生保健:2018,32(9):49-51
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糖尿病强化管理对2型糖尿病患者血糖控制、依从性及健康生活的影响
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中文摘要: 目的 探讨糖尿病强化管理应用于2型糖尿病患者中的效果。方法 将在管理的240例2型糖尿病患者在其知情同意的情况下,按照随机数字表法分为对照组和观察组,每组各120例。对照组给予常规管理,观察组在对照组基础上实施强化管理,比较两组干预前后空腹血糖(FPG)、糖化血红蛋白(HbA1c)、收缩压(SBP)、舒张压(DBP)和低密度脂蛋白胆固醇(LDL-C)等指标变化情况;调查两组干预前后治疗依从性(遵医服药、科学运动、合理饮食、定期复查和血糖监测);采用糖尿病患者生活质量特异性量表评价干预前后患者的生活质量。结果 两组患者干预后FPG、HbA1c、SBP、DBP和LDL-C较干预前明显下降(P﹤0.05),且观察组低于对照组(P﹤0.05);观察组干预后遵医服药、科学运动、合理饮食、定期复查和血糖监测评分明显高于对照组(P﹤0.05);观察组干预后生理功能、心理/精神、社会关系和治疗评分明显低于对照组(P﹤0.05),且两组各项生活质量指标评分较干预前显著下降(P﹤0.05)。结论 2型糖尿病患者实施糖尿病强化管理有助于提高患者的治疗依从性,控制血糖等指标水平,更好地改善患者的生活质量。
Abstract:OBJECTIVE To investigate the effect of intensive diabetes management in patients with type 2 diabetes.Methods 240 patients with type 2 diabetes in management were divided into control group and observation group 120 cases according to the random number table method under the condition of their informed consent. The control group was given routine management; the observation group was administered on the basis of the control group. The changes of indicators before and after interventions (fasting plasma glucose-FPG, HbA1c, systolic blood pressure-SBP, diastolic blood pressure-DBP, LDL cholesterol-LDL-C) were compared; and the treatment adherence before and after intervention was investigated. Medications, scientific exercise, reasonable diet, regular review, and blood glucose monitoring were used to evaluate the quality of life before and after intervention using a quality of life specific scale for diabetic patients.Results After intervention, FPG, HbA1c, SBP, DBP, and LDL-C decreased significantly after intervention in the two groups, P﹤0.05. However, the observation group was lower than the control group, P﹤0.05. After observation group intervention, compliance with medication, scientific exercise, reasonable diet, regular review and blood glucose monitoring scores were significantly higher than the control group, P﹤0.05. The physiological function, mental/mental, social relations, and treatment scores of the observation group after intervention were significantly lower than those of the control group (P﹤0.05), and the scores of the quality of life indicators of the two groups decreased significantly before the intervention, P﹤0.05.Conclusion Diabetes mellitus type 2 diabetes management can help improve patient compliance, control their blood glucose and other indicators, and better improve their quality of life.
文章编号:3201809019     中图分类号:R587.1    文献标志码:
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刘春艳①,许春双②  
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