糖尿病教育对糖尿病前期患者转归影响的研究

发布时间：2018-12-15 00:20

【摘要】：目的:研究糖尿病教育对糖尿病前期患者体质指数、腰围、血压等生理参数指标和空腹血糖、口服葡萄糖耐量试验2小时血糖、糖化血红蛋白等血糖指标及转归的影响;方法:将在社区免费体检筛查出的120例糖尿病前期患者,根据其自身是否愿意接受糖尿病教育分为教育组和对照组。教育组开展为期1年的糖尿病教育,对照组可从全科医生获得简单口头教育,或是从电视、网络及其它有关宣传资料中了解糖尿病一般知识,不进行专门的糖尿病教育。观察随访1年后对两组人群体质指数、腰围、血压等生理参数指标和空腹血糖、口服葡萄糖耐量试验2小时血糖、糖化血红蛋白等血糖指标及转归情况进行评价;结果:两组基线时一般资料、生理参数及血糖水平均无差异。观察随访1年后,教育组体质指数、腰围、血压等生理参数和口服葡萄糖耐量试验2小时血糖、糖化血红蛋白等血糖指标较对照组有明显降低,差异有统计学意义(P0.05),教育组空腹血糖在随访后与对照组比较有所改善,但差异不具有统计学意义(P0.05)。糖尿病前期患者转化率方面:教育组糖耐量正常逆转率明显高于对照组(P0.01),教育组糖尿病转化率明显低于对照组(P0.05);结论:糖尿病教育可改善糖尿病前期患者多项代谢指标,降低糖尿病发病风险并增加糖耐量正常逆转率。糖尿病教育可有效控制糖尿病前期患者病情防治糖尿病,适合社区开展,便于推广,为社区糖尿病防治提供科学依据。
[Abstract]:Objective: to study the effects of diabetes education on body mass index (BMI), waist circumference, blood pressure and fasting blood glucose (FBG), blood glucose and glycosylated hemoglobin (HbA1c) in patients with prediabetes mellitus in 2 hours oral glucose tolerance test (OGTT). Methods: 120 prediabetic patients who were screened by free physical examination in the community were divided into education group and control group according to their willingness to receive diabetes education. The education group carries on the diabetes education for one year, the control group can obtain simple oral education from the general practitioner, or learn the general knowledge of diabetes from TV, network and other related propaganda materials, do not carry on the special diabetes education. Body mass index (BMI), waist circumference, blood pressure and fasting blood glucose (FBG), blood glucose (GTT), glycosylated hemoglobin (HbHb) and other blood glucose indexes were observed and evaluated after 1 year follow-up. Results: there was no difference in general data, physiological parameters and blood glucose level between the two groups. The body mass index, waist circumference, blood pressure and other physiological parameters in the education group were significantly lower than those in the control group after 1 year follow-up (P0.05), and the blood glucose and glycosylated hemoglobin were significantly lower in the education group than in the control group (P0.05). The fasting blood glucose in the education group was improved after follow-up compared with the control group, but the difference was not statistically significant (P0.05). The conversion rate of pre-diabetic patients: the normal reversal rate of glucose tolerance in the education group was significantly higher than that in the control group (P0.01), and the conversion rate of diabetes in the education group was significantly lower than that in the control group (P0.05). Conclusion: diabetes education can improve many metabolic indexes, reduce the risk of diabetes and increase the normal reversal rate of glucose tolerance. Diabetes education can effectively control the condition of pre-diabetic patients to prevent and treat diabetes, suitable for community development, easy to promote, and provide scientific basis for community diabetes prevention and treatment.
【学位授予单位】：蚌埠医学院
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.1

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