不同健康教育模式对糖尿病患者代谢水平影响效果分析

目的评价短期集中强化糖尿病健康教育加后续网络化随访对糖尿病患者代谢水平影响的效果。方法对115例糖尿病患者分别采用5d集中强化糖尿病健康教育加后续网络化随访（实验组，57例）和传统的分次糖尿病健康教育的方式（对照组，58例）进行健康教育，在入组时及健康教育后3个月、6个月后分别评价患者糖化血红蛋白、体重指数、血脂、血压变化。结果糖化血红蛋白：对照组下降1．13％（6个月），达标率差异无统计学意义；实验组下降2．10％（6个月），达标率由于预前的26．32％增加至80．79％（3个月）。体重指数达标率：实验组由干预前的43．86％增加至68．42％（6个月），对照组差异无统计学意义。血压干预前后两组差异均无统计学意义。结论短期集中强化糖尿病健康教育对改善代谢控制的影响效果优于传统的分次糖尿病健康教育的效果。

Effect of different health education models on diabetes metabolism

Objective To evaluate the effect of intensive diabetes health education plus web-based follow-up program on metabolic control. Methods One hundred and fifteen patients with type 2 diabetes mellitus （DM） were assigned to receive intensive diabetes health education plus web-based follow-up （treatment group, n = 57 ） or conventional education program （ control group, n = 58 ） . Hemoglobin Alc （ HbA1c） , body mass index （BMI） , lipid profile, and blood pressure were compared at 3 or 6 month with baseline. Results At 3 month,the patients with HbAlc 〈6. 5% in the treatment group was increased from 26. 32% to 80. 79%. At 6 month,HbAlc was decreased by 2. 10% and 1.13% in the treatment or control group. In contrast to the control group, in the treatment group, the patient with BMI 〈 24 increased from 43.86% to 68.42%. Neither groups showed significant changes in blood pressure. Conclusion Intensive diabetes education may be more effective than conventional program in improving metabolic control.