知己健康管理对2型糖尿病患者治疗依从性和疗效的研究.docVIP

精品论文 参考文献 知己健康管理对2型糖尿病患者治疗依从性和疗效的研究 高 荣 　　北京市海淀区北下关社区卫生服务中心 北京 100081 　　【摘 要】目的：探讨知己健康管理对2型糖尿病患者治疗依从性和疗效的影响。方法：对60例社区2型糖尿病患者进行3个月的知己健康管理，包括饮食、运动的量化管理及个性化健康教育等手段。对比分析患者在上述综合管理前后各项生理、生化指标及依从性得分的变化。结果：实施知己健康管理后，患者体质指数（BMI）、收缩压（SBP）、空腹血糖（FBG）、餐后2小时血糖（2hPG）糖化血红蛋白（HbA1c）、总胆固醇（TC）、甘油三酯（TG）、低密度脂蛋白胆固醇（LDL-C）均得到有效控制（Plt;0.05）；依从性得分均数及依从性好的患者比率也显著提升（Plt;0.05）；高密度脂蛋白胆固醇（HDL-C）和舒张压（DBP）有所改善，但差异无统计学意义（Pgt;0.05）。结论：知己健康管理可明显改善2型糖尿病患者的治疗依从性，有效控制各项生理生化指标，是社区慢性病管理的有效手段。 　　【关键词】2型糖尿病；知己健康管理；依从性 　　【中图分类号】R587.1 【文献标识码】B 【文章编号】1674-8999（2015）8-0150-02 　　Study On the Treatment Compliance and Therapeutic Effectiveness of Knowing-yourself Health Management on Patients with Type 2 Diabetes 　　【Abstract】Objective：To explore the effects of knowing-yourself health management on the treatment compliance and therapeutic effectiveness for patients with type 2 diabetes. Methods：Knowing-yourself health management was applied among 60 community residents with type 2 diabetes for three months, including quantitative management for their diet, physical exercise and individual health guidance, etc. For each patient, the biochemical, physiological indicators and the score of compliance were measured and compared before and after management. Results：After received three monthrsquo;s group management, the patientsrsquo; BMI, SBP, FPG, 2hPG, HbAlc, TC, TG and LDL-C were effectively improved (Plt;0.05); the mean value of compliance and number of patients with enhanced compliance were significantly increased after management (Plt;0.05); though signs of improvement observed in the level of DBP and HDL-C, there was statistical difference (Pgt;0.05). Conclusion：Knowing-yourself health management can significantly improve treatment compliance of patients with type 2 diabetes mellitus, remarkably controlling the physiological and biochemical indexes. Itrsquo;s an effective way to control community residentsrsquo; chronic disease. 　　【Key words】Type2 diabetes mellitus; Knowing-yourself health management;