城市社区不同糖尿病管理方法对自我管理知识和技能的影响分析

发布时间：2019-03-04 15:44

【摘要】：目的比较社区常见的3种不同管理方法对2型糖尿病患者自我管理知识和技能掌握的效果。方法2012年8月~10月社区门诊招募213例2型糖尿病患者,按简单随机及自愿原则,分为标准组、强化组和综合组,人数分别为106人、75人、32人,从2012年11月开始分别按照不同的管理方法进行为期18个月的分组管理。比较管理前后3组空腹血糖、糖化血红蛋白的达标率、糖尿病相关知识知晓及行为改善情况。结果干预前3组的空腹血糖及糖化血红蛋白达标率差异均无统计学意义(均有P0.05),管理18个月后空腹血糖、糖化血红蛋白均下降,3组之间达标率差异均有统计学意义(均有P0.05)。3组患者对糖尿病知识知晓情况、自我管理行为比研究初始有所改善,改善率差异均有统计学意义(均有P0.05)。结论综合管理更有利于糖尿病患者的病情控制,提高空腹血糖和糖化血红蛋白的达标率以及患者对糖尿病相关知识及技能的掌握率。
[Abstract]:Objective to compare the effects of three common management methods on self-management knowledge and skills of type 2 diabetes mellitus patients. Methods from August to October 2012, 213 patients with type 2 diabetes mellitus were enrolled in community outpatient clinic. According to the principle of simple, random and voluntary, 213 patients with type 2 diabetes mellitus were divided into three groups: standard group, intensive group and comprehensive group. The number of patients was 106, 75 and 32, respectively. Since November 2012, different management methods have been used for 18-month group management. Before and after management, fasting blood glucose, glycosylated hemoglobin (HbA1c), knowledge of diabetes mellitus and improvement of behavior were compared among the three groups. Results there was no significant difference in fasting blood glucose and glycosylated hemoglobin between the three groups before intervention (P 0.05). After 18 months of management, fasting blood glucose and glycosylated hemoglobin were all decreased. There were statistically significant differences in the rate of reaching the standard among the three groups (all P0.05). There were significant differences in self-management behavior and improvement rate between the three groups (P0.05). Conclusion Comprehensive management is more beneficial to the condition control of diabetic patients and to improve the standard rate of fasting blood glucose and glycosylated hemoglobin as well as the grasp rate of diabetes related knowledge and skills.
【作者单位】：中国疾病预防控制中心慢性病防治与社区卫生处;北京市朝阳区三里屯社区卫生服务中心;中国疾病预防控制中心环境与健康相关产品安全所;
【分类号】：R587.1

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