聚焦解决模式在2型糖尿病合并非酒精性脂肪肝患者随访管理中的应用

Application of solution-focused approach in follow-up management among patients with type 2 diabetes complicated by non-alcohol fatty liver disease

目的探讨对2型糖尿病合并非酒精性脂肪肝(NAFLD)患者进行聚焦解决模式随访管理的效果。方法选择2型糖尿病合并NAFLD的患者100例,采用单、双号法将其分为试验组(50例)和对照组(50例)。对照组进行常规随访模式管理,试验组在此基础上应用聚焦解决模式进行随访管理。结果两组在随访3个月、6个月后糖尿病自护行为评分较随访前均有提高,且试验组优于对照组(P<0.05);两组在随访6个月后,糖化血红蛋白、三酰甘油、体质指数和腰围显著低于随访前,对糖尿病知识的掌握情况优于随访前,试验组优于对照组(P<0.05)。结论应用聚焦解决随访管理模式能改善2型糖尿病合并NAFLD患者的临床指标,增强患者的治疗依从性及提高糖尿病自护能力。

Objective To investigate the effect of follow-up management with solution-focused approach among patients with type 2 diabetes complicated by non-alcohol fatty liver disease. Methods One hundred outpatients with type 2 diabetes complicated by non-alcohol fatty liver disease were divided into the experimental group（n=50） and the control group（n=50）. The patients in the experimental group received follow-up management with solution-focused approach,while the patients in the control group received conventional follow-up management. Results The diabetes self-care behavior score in both groups were significantly increased after 3 and 6-month follow-up（P〈0.05）,and the score in the experimental group was significantly higher than that in the control group（P〈0.05）. The level of glycosylated hemoglobin（HbAlc）,triglyceride（TG）,body mass index （BMI） and waist circumference（WC） were significantly decreased after 6-month follow-up（P〈0.05）,and the diabetes knowledge were significanlty improved after 6-month follow-up（P〈0.05）. Moreover,the results in the experimental group were significantly better than those in the control group（P〈0.05）. Conclusion Applying solution-focused approach to follow-up management for patients with type 2 diabetes complicated by non-alcohol fatty liver disease can improve the clinical indices,enhance their treatment compliance and self-care behaviors.