健康指导对初诊2型糖尿病强化治疗效果的影响

The effect of health guidance on intensive treatment for the initial diagnosis patients with type 2 diabetic mellitus

目的评价健康指导对初诊2型糖尿病（T2DM）胰岛素强化治疗患者的干预作用。方法将80例T2DM强化治疗患者随机分为干预组（41例）和对照组（39例）。对照组按常规健康教育法进行指导，干预组在此基础上采用24h不间断指导。两组强化治疗方法、时间均相同。结果治疗15d后，干预组患者糖尿病知识掌握程度及强化治疗配合程度显著优于对照组（均P〈0．05）；两组干预前后血糖各指标值差异有统计学意义（P〈0．05）；干预组干预后空腹血糖（FPG）、餐后2h血糖（2HPG）、糖化血红蛋白（HbAlc）较对照组显著下降（均P〈0．05）。结论对T2DM强化治疗患者采用健康指导，可显著提高患者的依从性，改善和控制血糖。

Objective To evaluate the effect of health guidance on intensive treatment for the initial diagnosis patients with type 2 diabetic mellitus. Methods Eighty patients with type 2 diabetic mellitus were randomly divided into the intervention group （ n = 41 ） and the control group （n = 39） . The patients in control group were instructed by routine health education, while those in the intervention group received health guidance on the basis of routine education, Results After treating for 15 days, the intervention group had a better cognition about diabetic knowledge and better compliance of intensive treatment than the control group （ all P 〈 0. 05 ） . There was significant differ- ence in blood glucose parameters in the two groups before and after the intervention （ P 〈 0.05, P 〈 0.01 ） . The fasting plasma glucose, postprandial plasma glucose, and hemoglobin Alc in the intervention group were all statistically lower than those in the control group （ all P 〈 0. 05 ） . Conclusions Healthy guidance can improve the compliance remarkably and control plasma glucose. .