强化随访对糖尿病患者的影响

Effect of intensive follow-up in patient with diabetes

目的观察强化随访对糖尿病患者自我管理能力与疾病控制的影响。方法接受了糖尿病教育的65例糖尿病患者随机分为对照组(A组)和强化随访组(B组),A组患者出院后无定期随访计划,B组患者出院后定期随访(包括电话随访),试验时间为6个月。结果出院6个月后B组自我管理能力、血糖、糖化血红蛋白明显好于A组,差异有统计学意义(P<0.05)。而血压、体重无明显改善,差异无统计学意义(P>0.05)。结论出院后强化定期随访对糖尿病患者自我管理能力有明显影响,可提高定期随访患者的血糖、糖化血红蛋白的控制水平,但是对于血压和体重的改善作用不明显,有待进一步观察。

Objective To assess the effect of intensive follow-up on self-management ability and disease control in patient with diabetes. Methods Sixty-five diabetes who received diabetic education were randomized into control group （group A） and intensive follow-up group （group B）. Subjects of group B were regularly followed up with telephone for six months, while group A without. Results Six months after discharge,group B had better self-management, blood glucose, glycated hemoglobin Alc than those of Group A（P〈0. 05）. The levels of fasting blood glucose and glycated hemoglobin Alc of group B were significantly lower than those of group A. Conclusion Regularly intensive follow-up can significantly improve the self-management ability, blood glucose and glycared hemoglobin Alc control in patients with diabetes. But the effects on blood pressure and body weight are limited.