摘要
目的:通过快速、强化、全面的糖尿病患者教育,提高患者的依从性,使更多的患者血糖达到理想水平。方法:将住院的糖尿病患者87例随机分为快速强化全面糖尿病教育治疗组(快速强化全面教育组)和快速强化控制组。两组都根据患者空腹血糖、餐后血糖、任意随机血糖、胰岛素、C肽分泌情况,在短时间内进行严格饮食控制、强化运动、口服降糖药、胰岛素治疗,进行空腹血糖、餐后血糖、任意随机血糖的检测,通过上述手段达到理想血糖控制目标。快速强化全面教育组同时在短期的住院期间接受良好的、内容连贯的、渐进的糖尿病基本知识。两组分别在3,6个月检测糖尿病控制指标。结果:治疗6个月后的快速强化全面教育组患者的糖化血红蛋白犤(7.1±2.2)%犦与快速强化控制组犤(7.6±2.3)%犦比较,差异有显著性意义(t=1.67,P=0.04);快速强化全面教育组的患者血糖达标控制率(89.5%)比快速强化控制组(80.5%)明显高(t=1.89,P=0.04)。结论:快速、强化、全面的糖尿病患者教育方法是提高糖尿病患者依从性和达到理想控制的重要手段。
AIM:To increase patient compliance in order to help more patients achieve the ideal target of diabetes control with quickly intensive and comprehensive diabetes patient education. METHODS:Totally 87 hospitalized patients with diabetes were randomized into quickly intensive and comprehensive diabetes patient education therapy group(education group) and quickly intensive therapy group,both two groups received the strict diet control,active exercise,oral antidiabetic agents,insulin treatment based on fasting plasma glucose,postprandial glucose,random glucose,insulin,C peptide within a shorter time,and to achieve the blood glucose control ideal target by the well organized combination of the above methods.Education group received sound,coherent and progressive basic diabetic knowledge.Diabetes control indexes were examined at the third and sixth month respectively. RESULTS:HBAIC[(7.1±2.2)%] of education group showed significant difference as compared with that of quickly intensive therapy group[(7.6±2.3)%](t=1.67,P=0.04);The persistent therapy rate of education group(89.5%) was obviously higher than that of quickly intensive therapy group(80.5%)(t=1.89,P=0.04).CONCLUSION:Quickly intensive and comprehensive education for diabetes patient increases the compliance which is an important method for ideal diabetes control.
出处
《中国临床康复》
CSCD
2004年第21期4138-4140,共3页
Chinese Journal of Clinical Rehabilitation
基金
2003西京医院医疗新技术
新业务资助项目(XJGX03018M10)
2003年度陕西省中医药科研课题(0380)~~
