96例糖尿病患者健康教育效果评价

目的从临床疗效、社会效益及患者生存质量等方面评价96例糖尿病患者健康教育的效果。方法将180例在我院接受治疗的糖尿病患者按是否接受糖尿病健康教育分为教育组和未教育组，通过“患者一般情况及糖尿病基础知识”问卷、“糖尿病患者生存质量特异性量表（DSQL）”的调查，比较两组患者血糖控制情况、直接医疗费用、生存质量及并发症的发生情况。结果两组患者年龄、性别、体重指数、病程及医疗报销情况比较均无统计学意义，教育组和未教育组空腹血糖（7．0±2．5）mmol／LVS（8．9-1-3．1）mmol／L]、餐后2小时血糖（9．0±2．3）mmol／Lvs（12．5±2．1）mm01]、糖化血红蛋白（7．0±2．2）％VS（8．3±2．4）％]、胆固醇（4．6±0．8）mmo]／LVS（6．1±1．4）mmol／L]及甘油三酯（2．1±0．6）mmol／LV8（3．9±1．0）mmol／L]，每年医疗费用（4523．60±1532．60）元VS（5783．40±2272．60）元]比较，差异均有统计学意义（P〈0．05）。教育组患者糖尿病视网膜（11．5％VS22．6％）及周围神经并发症（22．3％VS46．4％）低于未教育组（P〈0．01），教育组患者生存质量明显提高（P〈0．05）。结论糖尿病健康教育能提高患者代谢控制水平，降低医疗费用，提高患者的生存质量。

Study on the effect of diabetic health education

Objective To study the effect of diabetic health education on Clinical effects, social benefits and quality of life. Methods One hundred and eighty diabetic patients were divided into educat- ed group（n =96） and non-educated group （n = 84）. Filling out the questionnaire of patients＇ general health situation, basic knowledge of diabetes and diabetes-specific quality of life scale. Glucose level, com- plications, direct medical expenses and quality of life were also compared between these 2 groups. Results The FBG（7.0 ±2.5 mmol/L vs 8.9 ±3.1 mmol/L,PBG（9.0 ±2.3 mmol/L vs 12.5 ±2.1 mmol）, GhbA1C （7.0 ± 2.2% vs 8.3 ± 2.4% ）, TC （4.6 ± 0.8 mmol/L vs 6.1 ± 1.4 mmol/L）, TG （ 2.1±0.6 mmol/L vs 3.9 ± 1.0 mmol/L） and medical expenses per year（4523.60 ±1532.60 yuan vs 5783.4 ± 2272.60 yuan） were significently decreased,the incidence rate of retinopathy （ 11.5% vs 22.6% ） and peripheral neuropathy（22.3% vs 46.4% ） were sighificantly lowed, and quality of life were improved（ P 〈 0.05） in education group. Conclusion Diabetic health education mode could ameliorate metabolic pa- rameters and improve life quality of diabetes, it could also decrease medical expenses and obtain marked Clinical effects.