[系统性自我管理教育对社区2型糖尿病患者血糖水平的有效性]

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

作者信息

Li Xuebing, Zhou Qiuhong, Zou Fuzhen, Wu Liaofang, Chen Huiling, Liu Zehao

机构信息

Department of Geriatrics, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Apr;37(4):355-8. doi: 10.3969/j.issn.1672-7347.2012.04.006.

DOI:10.3969/j.issn.1672-7347.2012.04.006

PMID:22561565

Abstract

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.

摘要

目的

探讨系统的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

2009年2月，将来自长沙10个社区的248例2型糖尿病患者随机分为干预组和对照组。干预组接受系统的自我管理教育，另一组接受常规社区教育。干预前后，测量空腹血糖、餐后2小时血糖和糖化血红蛋白，并对两组进行评估。

结果

两组糖尿病患者的空腹血糖、餐后2小时血糖和糖化血红蛋白水平在基线时总体相当（P>0.05）。干预后，两组间这三项指标均有统计学意义（分别为P<0.01、P<0.05、P<0.01）。干预后，干预组血糖水平明显改善（P<0.01），而对照组空腹血糖无统计学改善（P>0.05），餐后2小时血糖和糖化血红蛋白水平有所改善（分别为P<0.01、P<0.05）。