医院系统性糖尿病教育对糖尿病患者血糖指标影响.doc

医院系统性糖尿病教育对糖尿病患者血糖指标影响[摘要] 目的:通过对糖尿病患者进行系统性糖尿病教育,观察其对血糖水平和糖尿病治疗费用的影响。方法:随机抽取300例长期在我院门诊、住院就诊的2型糖尿病患者,200例患者曾接受过系统性糖尿病教育,100例患者未接受过系统性糖尿病教育或偶有1次听课经历,两组患者填写相同的糖尿病相关知识及治疗糖尿病费用方面的调查问卷,并用SPSS 13.0软件进行统计学分析。结果:调查结果显示,接受糖尿病教育的患者的年龄、病程、体重指数与未接受教育者比较,无显著性差异(P0.05);血糖、餐后2 h血糖、糖化血红蛋白较未接受教育者显著降低(P0.05)。结论:系统性糖尿病教育能使患者获得更好的血糖控制,有助于病情的稳定与康复。 [关键词] 糖尿病;系统性教育;血糖;治疗费用 [中图分类号] R587.1 [文献标识码]A [文章编号]1673-7210(2010)02(a)-018-03 Effect of hospital systemic diabetes education on blood sugar level of diabetic patients ZHOU Xinhua, LU Tianyue, ZENG Yonghong, WU Zhixing, LU Qiuyun (Zhuhai Hospital of Guangdong Province Traditional Chinese Medicine Hospital, Zhuhai 519015, China) [Abstract] Objective: To observe the effect on the level of blood sugar and treating expense by the systematical education for diabetic patients. Methods: 300 cases of patients with Type 2 diabetes who were outpatients and inpatients for a long time in our hospital were randomly chose, of which 200 cases had the systematical education and 100 cases never had corresponding education or only had once. The patients of two groups all filled the same finding-papers on interrelating knowledge and treating expense of diabetes after education. The data was analyzed by SPSS 13.0. Results: The results showed that there were no significant differences on ages, courses and IBM between two groups while on treating expense (P0.05). The level of blood sugar, postprandial 2 h blood sugar, HbAlC dropped lower on the treatment group than those of the control group(P0.05). Conclusion: The systematical education for diabetic patients can make them control level of blood sugar better. It also helps stabilize the patients’ condition and restore the health. [Key words] Diabetes; Systematical education; Blood sugar; Treating expense 糖尿病是遗传和环境因素相互作用而引起的一组代谢异常综合症,病程较长,可引起多系统的慢性进行性病变或损害,其治疗是一项长期并需随病程进展而不断调整的管理过程。糖尿病教育是糖尿病综合治疗方案中的一个重要组成部分,是糖尿病治疗的一项基本措施,对糖尿病的控制和管理有明显的促进作用,在糖尿病的治疗中不容忽视[1-3]。我院糖尿病专科联合营养科从2006年起开展多种形式的系统性糖尿