系统性自我管理教育法对老年2型糖尿病患者社区管理效果的影响

Evaluation of Efficacy of Systematic Self-management Education on Community Intervention in Elderly People with Type 2 Diabetes Mellitus

[目的]探讨系统性自我管理教育对老年2型糖尿病（T2DM）患者社区管理效果的影响。[方法]本社区2008年1月至2011年1月老年T2DM患者80例，随机分为：系统性自我管理教育组（A组）、对照组（B组）各40例，两组均实施常规饮食控制、自我监测、一般宣教，药物治疗干预12月，A组在此基础上实施系统性自我管理教育，比较分析两组干预前后糖尿病特异性生命质量和空腹血糖、糖化血红蛋白等。[结果]干预后，A组糖尿病特异性生命质量和血糖、糖化血红蛋白等与B组比较，有统计学意义（P〈0．05）。[结论]系统性自我管理教育在老年T2DM患者治疗中具有一定的优势，能有效改善患者生命质量和血糖、糖化血红蛋白，值得进一步推广。

[Objective] To explore the effect of systematic self-management education on community inter- vention in elderly people with type 2 diabetes mellitus（T2DM）. [Methods] Eighty elderly patients with T2DM in our community from Jan. 2008 to Jan. 2011 were randomly divided into systematic self-management educa- tion group（group A, n = 40） and control group（group B, n = 40）. Both groups implemented regular diet con- trol, self monitoring, general mission and drug therapy intervention for 12 months. Group A additionally im- plemented systematic self-management education. The diabetic specific quality of life, fasting blood glucose and glycosylated hemoglobin before and after intervention were compared between 2 groups. [Results]After in- tervention, There was significant difference in diabetic specific quality of life, blood glucose and glycosylated hemoglobin after intervention between group A and group t3（ P d0.05）. [Conclusion]Systematic self-management education in the treatment of elderly patients with T2DM has certain advantages, and can effectively improve the quality of life, the fasting blood glucose and glycosylated hemoglobin. Therefore it is worthy of clinical promotion.