糖尿病患者治疗管理目标与其血糖水平和生活质量的关系

Relationship between the treatment targets and the blood glucose concentration and the quality of life in the diabetic patients

目的明确糖尿病患者对治疗管理目标的认识(自身治疗管理目标设定的有无、治疗管理目标值与主管医生设定值是否一致),并探讨其与血糖控制和生活质量之间的关系。方法采用:(1)糖尿病治疗管理目标相关调查表;(2)糖尿病患者生活质量调查表;(3)医-患交流相关调查表,随机抽样调查糖尿病患者150例,并对数据进行分析。结果(1)患者自身设定治疗管理目标,特别是目标值与主管医生设定的目标值相一致时,血糖控制良好(P<0.01)。(2)自身设定治疗管理目标的患者,生活质量较高(P<0.05)。(3)回答“诊疗中,从主管医生那里得到过关于治疗管理目标的说明”的患者,自身能设定目标(χ2值=25.2,P<0.01)。结论充分的医-患交流,可以促使患者自身设定治疗管理目标;自身能设定治疗管理目标,对改善控制血糖和提高生活质量有着十分重要的作用。

Objective To investigate the current situation of the cognition of diabetic patients to the targets of treatment and management, and then make clear the relationship between the treatment targets and the blood glucose concentration and the quality of life among diabetic patients. Methods Investigated 150 diabetic patients randomly by 3 kinds of scales：① targets of treatment and management scale; ②quality of life scale; ③communication between the doctor and the patients questionary. Results When the patients set the targets of treatment and management, especially these targets were in agreement with those of doctor, their blood sugar were always controlled well （P〈0.01）, and these patients also could live better than before （P〈0.05）. The patient who had obtained some useful information about the targets of treatment and management from doctors always can set their own objectives （7.2 = 25.2, P 〈 0.01）. Conclusion The communicate between the diabetic patient and doctor, especially the diabetic health education, is good for the diabetic patient to set the targets of treatment and management, which could improve the blood sugar controlling and the quality of life of the diabetic patient.