摘要
目的探讨自我管理教育在治疗糖尿病前期患者中的治疗效果。方法选取2010年1月~2014年6月在我院进行糖尿病前期治疗的80例糖尿病前期患者,采用随机数字表法分为两组:干预组(40例)和对照组(40例),干预组采用自我管理教育方式,对照组采用常规管理方式。对两组患者进行干预前后血糖指标及自我管理评分、自我管理教育前后自我效能分析、两组患者干预前后自我管理行为比较,观察自我管理教育对糖尿病前期患者的疗效。结果从两组干预前后血糖指标及自我管理量表得分情况分析,干预组FBG值、2h PG值、Hb Al C值分别为(6.25±0.39)mmol/L、(7.27±2.66)mmol/L、(6.12±0.26)%均小于对照组值,自我管理量表得分,干预组显著高于对照组,两组差异具有统计学意义(P<0.05);干预组患者在药物治疗、是否合理饮食、是否规律运动、是否自我监测和复诊率较教育前均有明显改善,差异具有统计学意义(P<0.05)。从两组患者干预前后自我管理行为比较,对照组效果明显低于干预组,两组差异具有统计学意义(P<0.05)。结论自我管理教育能有效降低糖尿病前期患者血糖,提高患者的自我效能,帮助患者养成良好的饮食和生活习惯,对治疗糖尿病前期患者具有良好的临床意义。
Objective To explore the curative effect of self-management education in treatment of patients with pre-diabetes. Methods 80 patients with pre-diabetes who were treated in our hospital from January 2010 to June 2014 in our hospital were selected. According to random number table, they were divided into the intervention group and the control group, with 40 in each. The intervention group was given self-management education while the control group was given conventional management method. Glyeemic index and self-management score before and after the intervention, self-efficacy analysis before and after self-management education, self-management behavior before and after the intervention of two groups were compared. The curative effect of self-management education in treatment of patients with pre-diabetes were observed. Results Results By analyzing glYcemic index and self-management scale score Before and after the intervention of two groups, values of fasting blood glucose （FBG）, 2-hour postprandial blood glucose （2hPG） and gllfcosylated hemoglobin （HbA!C） of the intervention group were respectively （6.25 ± 0.39）mmol/L, （7.27 ± 2.66）mmol/L and （6.12 ± 0.26）%, all smaller than those of the control group. S,elf-management scale score of the intervention group was signifcantly higher than that of the control group and the differences had statistical significance （P 〈 0.05）.Condition of clrug treatment, reasonable diet, regular exercise, self-monitoring and further consultation rate after education of the intervention group were all significantly improved compared with those before education. The difference was statistically significant （P 〈 0.05）. By comparing self-management behavior before and after the intervention of two groups, the effect of the control group, was significantly lower, than, that of the interention group. Differences between two groups had statistical significance （P 〈 0.05）. Conclusion Self-management education can effectively reduce blood glucose of patients with pre-diabetes, improve their self-efficacy and help them to develop good eating and living habits. Therefore, it has clinical significance for treatment of patients with prediabetes.
出处
《中国医药科学》
2017年第7期102-104,118,共4页
China Medicine And Pharmacy
关键词
自我管理教育
糖尿病前期
教育
效果研究
Self-management education
Pre-diabetes
Education
Study on effect
