糖尿病患者的群体健康管理

Efficiency of Health Management in Patients with Diabetes Mellitus

目的对糖尿病患者实施健康管理,探寻行之有效的糖尿病患者的健康管理模式。方法随机选取糖尿病患者120名。分为干预组60人与对照组60人。所有患者填写调查问卷、并测定身高、体重、餐后2h血糖、糖化血红蛋白等客观指标。干预组实施为期3个月的健康管理,干预结束后,两组患者再次填写问卷,并测定相关客观指标。结果干预组经健康管理后,其体重指数、血压值、糖化血红蛋白、空腹血糖值、餐后2h血糖值均有显著下降,其中糖化血红蛋白、空腹血糖值、餐后2h血糖值的改变差异有统计学意义(P<0.05)。干预组经干预后生活质量评分有所降低,其改变差异有统计学意义(P<0.05)。对照组生活质量评分较3个月前有所增加。结论干预组通过正规的健康管理后,其客观指标没有进一步恶化,而且有显著的好转,比较对照组差异有统计学意义。充分说明了糖尿病健康管理的重要性和有效性。其健康管理模式值得进一步的研究和推广。

Objective To implement the health management for diabetes Patients, and to explore the effective management pattern for the patients with diabetes mellitus. Methods Totally 120 randomly selected outpatients with diabetes mellitus were divided into intervention group （n = 60） and control group （n= 60）. Questionnaire investigation and health examination were conducted in these patients. The patients of intervention group were intervened for 3 months, including lectures twice every week, consultation, mental help, compiling the personal health file, and making up the personal intervention scheme respectively, etc. The examination indexes were body height, weight, twist to hip ratio, blood pressure, fasting plasma glucose, post- challenge plasma glucose, Hbalc, etc. After 3 months health management intervention, questionnaire investigation and health examination were conducted again in the patients of the two groups. Results After 3 months health management intervention for the intervention group, BMI, blood pressure, Hbalc, FPG, post- challenge plasma glucose of intervention group were significantly decreased, and there were statistically significant differences in the changes of Hbalc, FPG, and post-challenge plasma glucose （P〈 0.05）. The score of living quality in intervention group was decreased, and the change difference showed statistically significant （P〈 0.05）; but the score of living quality in control group was increased as compared with that three months ago. Conclusions After the normal health management, the examination indexes of intervention group are better than those of control group, and the difference is statistically significant between the two groups. The results speak volumes for the diabetes health management is very important and effective. Diabetes health management pattern is worth using widely and further studying.