健康教育对门诊2型糖尿病患者血糖控制目标的影响

The Effect of Health Education on the Blood Glucose Controlling Target in Patients with Type 2 Diabetes Mellitus

目的探讨健康教育对2型糖尿病患者血糖达标的影响。方法将598例2型糖尿病患者随机分为对照组和干预组,对照组给予常规治疗及用药指导,干预组除上述治疗外,实施针对糖尿病的健康管理方案,以行为、心理、饮食干预为主,共观察7个月。结果干预后干预组糖化血红蛋白、空腹血糖、餐后2h血糖与对照组比较,差别有统计学意义(P<0.01)。干预组干预后空腹血糖、餐后2h血糖。糖化血红蛋白达标率分别为61.2%,36.7%和71.4%,均高于对照组,差别有统计学意义(均P<0.01)。结论健康教育有助于2型糖尿病患者血糖达标。

Objective To explore the effect of health education on the blood glucose controlling target in patients with type 2 diabetes. Methods 598 eases of patients with type 2 diabetes were randomly divided into the control group （given conventional treatment and medication guide） and the intervention group （besides the above-mentioned treatment, also given diabetes health management program including the systemic health education and promotion, and with stress on behavioral, psychological, dietary intervention） and observed for 7 months. Results After 7 months intervention, there were differences in the levels of glycosylated hemoglobin, fasting plasma glucose and 2h postprandial blood glucose between two groups （P〈0.01）; and the attainment rates of fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin （61.2%, 36.7% and 71.4%, respectively） in the intervention group were higher than those in the control group （all P〈0.01）. Conclusion Health education helps to attainment target of blood glucose in patients with type 2 diabetes mellitus.