糖尿病教育对2型糖尿病患者血糖水平及医疗费用的影响

Effects evaluation of diabetes patient education on blood glucose and medical care cost in patients with type 2 diabetes

目的评价糖尿病教育对患者血糖控制和治疗糖尿病的费用的影响。方法随机抽取179名长期在我院门诊就诊的2型糖尿病患者,94名患者曾接受过至少2次糖尿病教育,85名患者未接受过糖尿病教育或偶有1次听课经历,两组患者填写相同的糖尿病相关知识及治疗糖尿病费用方面的调查问卷。用SPSS13.0进行统计学分析。结果调查结果显示,接受糖尿病教育组患者的年龄、病程、体重指数与未接受教育组差异无显著性,而血糖水平较未教育组显著降低(P<0.05),平均糖化血红蛋白水平较未教育组低1.2%(P<0.01),同时,两组患者治疗糖尿病的费用差异无显著性(P>0.05)。结论糖尿病教育可在两组患者花费相同的情况下使受教育组获得更好的血糖控制。

Objective To evaluate the effect of patient education on blood glucose control and medical care cost for diabetes. Methods 179 type 2 diabetic patients were selected and followed up in our clinic, of which, 94 had received diabetes education for at least two times, while the other 85 had never or only received it for one time. All the patients answered the same questionnaire on diabetes and cost. Results The blood glucose level was significantly lower in the educated group than the uneducated group （P 〈 0.05 ）, while there was no significant difference between the two groups as to therapy cost. Conclusions With diabetes patient education, better blood glucose control can be achieved in diabetic patients at the same cost.