全程教育在2型糖尿病基础胰岛素治疗中效果评价.docVIP

全程教育在2型糖尿病基础胰岛素治疗中效果评价 　　[摘要] 目的 探索全程教育在2型糖尿病基础胰岛素治疗中的应用效果。方法 2014年4―12月对初次使用基础胰岛素的258例2型糖尿病患者进行基线数据采集，按照随机数字表法以1：1的比例分为干预组和对照组，均采用规范化的首日教育、饮食控制、运动疗法、药物治疗及血糖监测等方法。干预组在以上措施基础上给予定期的短信提示血糖监测，1次/月的面对面“患者教育会”或“医生热线”电话随访，对患者进行定期的健康教育和血糖控制指导。治疗12周后评价两组患者空腹血糖（FBG）达标率、糖化血红蛋白（HbA1c）及自我管理效能得分情况。结果 12周后干预组空腹血糖达标率为65.1% （84/129），显著高于对照组33.3%（43/129），自我管理效能得分显著高于对照组（P0.05），HbA1c 明显低于对照组（P0.05）。结论 全程教育明显强化了患者的自我管理，更好促进FPG达标。 　　[关键词] 糖尿病；全程教育；基础胰岛素；自我管理 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）08（b）-0042-03 　　Effectiveness Evaluation of Whole Course of Patient Education on Basal Insulin Therapy in Type 2 Diabetes Mellitus 　　ZHANG Min，CHEN Ping 　　Department of Eldly Endocrinology ，Sichuan Academy of Medical Sciences Sichuan Provincial People’s Hospital ，Chengdu， Sichuan Province，610072 China 　　[Abstract] Objective To investigatethe effect of whole course education on basal insulin therapy in type 2 diabetes mellitus. Methods Baseline data were collected 258 patients from April to December 2014 with type 2 diabetes mellitus using basal insulin. The patients were divided into intervention group and control group according to the random number table method. The standardized first day education， diet control， exercise therapy， Drug therapy and blood glucose monitoring and other methods. The intervention group on the basis of the above measures to give a weekly message prompts blood glucose monitoring， 1 month of face-to-face patient education or doctor hotline telephone follow-up， regular health education and blood glucose control guidance. After 12 weeks of treatment， fasting blood glucose （FBG） compliance rate， glycosylated hemoglobin （HbA1c） and self-management performance scores were evaluated in both groups. Results After 12 weeks， the rate of fasting blood glucose was 65.1%（84/129） in the intervention group， which was significantly higher than that in the control group （33.3%）， the self-management performance score was significantly higher than that of the control