个案管理对门诊新诊断2型糖尿病患者短期胰岛素强化治疗效果的影响
发布时间：2018-07-24 18:05
【摘要】：目的探讨个案管理对门诊新诊断T2DM并接受短期胰岛素强化治疗患者的治疗依从性、安全性及血糖代谢的干预效果。方法选取门诊接受短期胰岛素强化治疗的新诊断T2DM患者100例,随机分为干预组(n=52)与对照(Con)组(n=48)。干预组由医生和个案管理师组成的团队按照胰岛素注射治疗个案管理标准流程对患者进行干预,Con组接受门诊常规胰岛素注射指导,比较干预前、干预3个月后两组患者胰岛素治疗态度以及胰岛素治疗依从性、低血糖发生率、FBG及HbA_1c。结果干预后,干预组胰岛素治疗态度总分及各维度得分均优于Con组[(76.30±4.06)vs(60.53±3.18)分,P0.01];干预组胰岛素治疗依从性优于Con组(82.7%vs 64.6%,P0.05);干预组低血糖发生率低于Con组(19.2%vs 31.3%),但差异无统计学意义(P0.05);干预组FBG及HbA_1c均低于Con组[(6.79±1.41)vs(7.51±1.15)mmo/L,(6.62±0.69)%vs(7.15±0.75)%,P0.05]。结论个案管理可有效改善门诊新诊断T2DM短期胰岛素强化治疗患者胰岛素治疗的态度,提高治疗依从性,从而优化血糖控制效果。
[Abstract]:Objective to investigate the therapeutic compliance, safety and blood glucose metabolism of outpatients with newly diagnosed T2DM and intensive short-term insulin therapy by case management. Methods 100 newly diagnosed T2DM patients who received short-term intensive insulin therapy were randomly divided into intervention group (n = 52) and control (Con) group (n = 48). A team of doctors and case managers in the intervention group treated patients with insulin injection according to the standard procedure of case management for insulin injection therapy. The Con group received routine insulin injection instruction in outpatient clinics. After 3 months of intervention, the two groups had insulin treatment attitude, insulin compliance, hypoglycemia rate, FBG and HBA _ (1) C. Results after intervention, The total score and dimension score of insulin treatment attitude in the intervention group were better than that in the Con group (76.30 卤4.06) vs (60.53 卤3.18), the insulin compliance in the intervention group was better than that in the Con group (P0.05), the incidence of hypoglycemia in the intervention group was lower than that in the Con group (31.3%), but the difference was not significant (P0.05). FBG and HbA_1c in group A were lower than those in group Con [(6.79 卤1.41) vs (7.51 卤1.15) mmol / L, (6.62 卤0.69) vs (7.15 卤0.75) P 0.05]. Conclusion case management can effectively improve the attitude and compliance of the patients with short-term intensive insulin therapy for newly diagnosed T2DM in outpatient clinic, so as to optimize the effect of blood glucose control.
【作者单位】： 清华大学附属北京清华长庚医院清华大学临床医学院内分泌与代谢科;
【分类号】：R587.1
，
本文编号：2142211
[Abstract]:Objective to investigate the therapeutic compliance, safety and blood glucose metabolism of outpatients with newly diagnosed T2DM and intensive short-term insulin therapy by case management. Methods 100 newly diagnosed T2DM patients who received short-term intensive insulin therapy were randomly divided into intervention group (n = 52) and control (Con) group (n = 48). A team of doctors and case managers in the intervention group treated patients with insulin injection according to the standard procedure of case management for insulin injection therapy. The Con group received routine insulin injection instruction in outpatient clinics. After 3 months of intervention, the two groups had insulin treatment attitude, insulin compliance, hypoglycemia rate, FBG and HBA _ (1) C. Results after intervention, The total score and dimension score of insulin treatment attitude in the intervention group were better than that in the Con group (76.30 卤4.06) vs (60.53 卤3.18), the insulin compliance in the intervention group was better than that in the Con group (P0.05), the incidence of hypoglycemia in the intervention group was lower than that in the Con group (31.3%), but the difference was not significant (P0.05). FBG and HbA_1c in group A were lower than those in group Con [(6.79 卤1.41) vs (7.51 卤1.15) mmol / L, (6.62 卤0.69) vs (7.15 卤0.75) P 0.05]. Conclusion case management can effectively improve the attitude and compliance of the patients with short-term intensive insulin therapy for newly diagnosed T2DM in outpatient clinic, so as to optimize the effect of blood glucose control.
【作者单位】： 清华大学附属北京清华长庚医院清华大学临床医学院内分泌与代谢科;
【分类号】：R587.1
，
本文编号：2142211
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