个体化糖尿病教育对2型糖尿病的影响：一项单中心随机临床试验。
Effect of individualized diabetes education for type 2 diabetes mellitus: a single-center randomized clinical trial.
作者信息
Fan Min-Hua, Huang Bing-Tong, Tang Ying-Chun, Han Xiu-Hua, Dong Wei-Wei, Wang Le-Xin
机构信息
Department of Endocrinology.
Cardiology, Liaocheng People's Hospital and Liaocheng Clinical School of Taishan Medical University, Liaocheng, Shandong, 252000, P.R.China.
出版信息
Afr Health Sci. 2016 Dec;16(4):1157-1162. doi: 10.4314/ahs.v16i4.34.
BACKGROUND
To evaluate the effect of individualized education for patients with type 2 diabetes mellitus (T2DM).
METHODS
A total of 280 patients (158 males, mean age 63 ± 10 years) with T2DM were randomly divided into study and control group. Eysenck Personality questionnaire was used to assess the personality of the patients in the study group, which was provided us one-on-one counseling and individualized management plan. Group education was provided to the control group.
RESULTS
At the end of the study, the body mass index (21.5±2.5 vs 23.6±1.6 kg/m, P =0.002), waist circumference (83.7±6.4 vs 85.7±7.7 cm, P =0.03), fasting blood glucose (6.0±0.8 vs 6.9±2.1 mmol/L, P =0.004), HbA1c (6.2±0.6% vs 6.9±3.1%, P =0.03), systolic blood pressure (130.1±8.8 vs 135.1±8.4 mmHg, P =0.003),triglyceride (1.21±0.66 vs 1.46±0.58 mmol/L) and low-density lipoprotein (2.36±0.44 vs 2.84±0.64 mmol/L, P =0.03) in the study group was lower than in the control group.
CONCLUSION
Individualized diabetes education is more effective than group education in facilitating the control of type 2 diabetes.
背景
评估2型糖尿病（T2DM）患者个体化教育的效果。
方法
280例T2DM患者（158例男性，平均年龄63±10岁）被随机分为研究组和对照组。使用艾森克人格问卷评估研究组患者的人格，为其提供一对一咨询和个体化管理计划。对照组接受集体教育。
结果
研究结束时，研究组的体重指数（21.5±2.5 vs 23.6±1.6 kg/m，P =0.002）、腰围（83.7±6.4 vs 85.7±7.7 cm，P =0.03）、空腹血糖（6.0±0.8 vs 6.9±2.1 mmol/L，P =0.004）、糖化血红蛋白（6.2±0.6% vs 6.9±3.1%，P =0.03）、收缩压（130.1±8.8 vs 135.1±8.4 mmHg，P =0.003）、甘油三酯（1.21±0.66 vs 1.46±0.58 mmol/L）和低密度脂蛋白（2.36±0.44 vs 2.84±0.64 mmol/L，P =0.03）均低于对照组。
结论
在促进2型糖尿病控制方面，个体化糖尿病教育比集体教育更有效。
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