摘要
目的探讨自我管理手册在社区2型糖尿病患者中的应用效果,构建新型糖尿病患者自我管理流程,以期为全国社区大范围推广使用提供依据。方法选取2020年6月至2021年4月在山东省慢性病医院就诊建档的110例2型糖尿病患者作为研究对象,采用随机数字表法分为试验组和对照组,每组各55例。试验组发放自我管理手册,为每例患者制订个体化综合管理目标,采用手册进行干预管理,为期12个月。对照组仅入组时进行健康教育,进行常规药物治疗,发放日记卡,记录病情变化及药物应用情况,不加以干预。1年后再次收集两组患者8项指标,内容包括血糖、糖化血红蛋白、血压、三酰甘油、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、体重指数,进行统计学分析。结果干预前,两组患者血糖及其相关指标比较,差异无统计学意义(P>0.05);干预后,试验组空腹血糖、餐后2 h血糖、收缩压、舒张压、体重指数、总胆固醇、三酰甘油、低密度脂蛋白胆固醇均低于本组干预前,高密度脂蛋白胆固醇高于本组干预前,差异有统计学意义(P<0.05)。结论对社区糖尿病患者应用自我管理手册,充分发挥患者的主动性与潜能,使其形成自我管理意识和健康行为,并且能够在血糖控制方面起到一定的效果,同时能使社区医生发挥其指导作用,值得在社区中大力推广。
Objective To explore the application effect of self-management manual in type 2 diabetes patients in the community,and construct a new type of self-management process for diabetes patients,in order to provide the basis for widespread use in communities across the country.Methods A total of 110 patients with type 2 diabetes who were treated and documented in Shandong Chronic Disease Hospital from June 2020 to April 2021 were selected as the research objects,and they were divided into experimental group and control group according to random number table method,with 55 cases in each group.The experimental group was given self-management manual,and individual comprehensive management goals were set for each patient.The manual was used for intervention management for a period of 12 months.The control group only received health education,routine drug treatment,and diary cards to record the changes of the condition and drug use,without intervention.One year later,8 indicators,including blood glucose,glycated hemoglobin,blood pressure,triglyceride,total cholesterol,high density lipoprotein cholesterol,low density lipoprotein cholesterol and body mass index were collected again for statistical analysis.Results Before intervention,there were no significant differences in blood glucose and related indexes between the two groups(P>0.05).After intervention,fasting blood glucose,2 h postprandial blood glucose,systolic blood pressure,diastolic blood pressure,body mass index,total cholesterol,triglyceride and low density lipoprotein cholesterol in experimental group were lower than those before intervention,and high density lipoprotein cholesterol was higher than that before intervention,with statistical significances(P<0.05).Conclusion The application of self-management manual to community diabetes patients can give full play to the initiative and potential of patients,make them form self-management awareness and health behavior,and play a certain effect in blood sugar control,and enable community doctors to play their guiding role,which is worthy of vigorous promotion in the community.
作者
孙静
崔月丽
邢翠珍
吕婵
SUN Jing;CUI Yueli;XING Cuizhen;LYU Chan(Medical Center,Shandong Provincial Chronic Disease Hospital,Shandong Province,Qingdao266071,China)
出处
《中国当代医药》
CAS
2024年第7期78-82,共5页
China Modern Medicine
基金
山东省医药卫生科技发展计划项目(2019WS514)。
关键词
社区
糖尿病
自我管理
应用分析
Community
Diabetes
Self-management
Application analysis
