HbA1c预测值所引导的2型糖尿病患者个体化自我管理教育研究

目的探讨HbA1c预测值所引导的2型糖尿病患者个体化自我管理教育模式对糖尿病控制效果的影响.方法对60例2型糖尿病患者的糖尿病基本知识、饮食、运动及用药自我管理能力进行问卷调查,检测糖尿病控制指标,建立HbA1c预测值模型.被调查者随机进入用HbA1c预测值所引导的个体化自我管理教育组(A组)和小组教育组(B组),每组30例.干预第3、6、9个月末检测血糖指标.第12个月末,再次进行问卷调查和检测控制指标.结果两组的各项检测指标均较干预前明显变好,糖尿病基本知识积分增加.A组自我管理能力增强的人数比率明显高于B组(Fisher精确概率双侧检验P＜0.05),糖尿病血糖指标控制效果好于B组(t＞2.11,P＜0.05).结论用HbA1c预测值所引导的2型糖尿病患者个体化自我管理教育是一种有效长期维持糖尿病控制效果的干预方法.

A Study on Type 2 Diabetics Individual Self-management Education Guided by HbA1c Calculation Value

Objective To assess the effects of type 2 diabetics individual self-management education guided by HbA 1c calculation value on glycemic control. Methods 60 patients with type 2 diabetes were asked about their basic diabetes knowledge, diet, exercise and medication through questionnaires, and the indices of their glycemic control were measured. Then the HbA 1c calculation value model was set up. These patients were randomly divided into group A (individual self-management education guided by HbA 1c calculation value) and group B (traditional education group), each group containing 30 cases. At the end of the third, sixth and ninth months after intervention, the levels of FPG, PG2h and HbA 1c was measured. At the end of the twelfth month, data were collected in the same way as pre-intervention. Results One year after intervention, the outcome of glycemic control was improved and patients' basic diabetes knowledge score increased in the both groups. The proportion of the patients with increased self-management abilities in group A was higher than that in group B(P<0.05). The outcome of glycemic control in group A was better than that in group B(P<0.05). Conclusion Individual self-management education guided by HbA 1c calculation value was an effective intervention method for sustaining glycemic control in the patients with type 2 diabetes.