系统性自我管理教育模式对社区2型糖尿病患者血糖水平的影响

目的: 探讨系统性自我管理教育对社区2型糖尿病患者血糖水平的影响。方法: 随机选取长沙市10个社区,分为干预组与对照组各5个,共纳入2型糖尿病患者248人为研究对象。干预组予以系统性自我管理教育,对照组予以常规社区教育,干预期均为一年半。干预前和干预后分别对两组患者予以空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)测定,对比分析两组患者血糖水平改善情况。结果: 两组患者FPG,2hPG,HbA1c干预前差异均无统计学意义(P>0.05);干预后差异均有统计学意义(分别P<0.01,P<0.05,P<0.01)。干预组FPG,2hPG,HbA1c干预后均较干预前明显改善(P<0.01);对照组FPG改善不明显(P>0.05),2hPG,HbA1c改善较明显(分别P<0.01,P<0.05)。结论: 系统性自我管理教育能有效改善社区2型糖尿病患者血糖水平,值得进一步推广。

Effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes

Objective:To explore the effectiveness of systematic self-management education on blood sugar level of patients in the community with type 2 diabetes.Methods:A total of 248 patients with type 2 diabetes from 10 communities of Changsha were randomized into intervention or control groups in February 2009.The intervention group received systematic self-management education,while the other received routine community education.Before and after intervention,fasting plasma glucose,2 h postprandial plasma glucose and glycosylated hemoglobin were measured,and evaluated between the 2 groups.Results:Fasting plasma glucose,2 h postprandial plasma glucose and glycosylated hemoglobin levels of patients with diabetes from the two groups were generally comparable at baseline(P>0.05).After the intervention,these three indicators were all statistically significant between the 2 groups(P<0.01,P<0.05,P<0.01,respectively).After intervention,blood sugar levels in the intervention group were obviously improved(P<0.01),while in the control group,fasting plasma glucose was not statistically improved(P>0.05),2 h plasma glucose and glycosylated hemoglobin levels were improved(P< 0.01,P<0.05,respectively).Conclusion:Systematic self-management education effectively encourages patients with type 2 diabetes to control their blood sugar levels,and deserves further promotion.