对2型糖尿病患者实施门诊健康教育的效果分析

Evaluation of health education for type 2 diabetics in outpatient clinic

[目的]评价糖尿病门诊健康教育的临床效果。[方法]将在我院门诊接受治疗的120例2型糖尿病患者随机分为2组,干预组60例接受健康教育,对照组60例不接受健康教育,两组均接受原有的药物治疗。分别在干预实施前后检测患者的空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)、血脂(TG、TC、HDL-C、LDL-C)水平。[结果]干预实施前后,干预组FPG、2hPG、HbA1c水平分别为(8.0±1.4)mmol/L、(12.2±2.9)mmol/L、(7.5±1.5)%和(6.5±1.1)mmol/L、(8.3±2.2)mmol/L、(6.1±0.7)%,差异均有统计学意义(P<0.05)。TG、TC、HDL-C水平分别为(2.05±0.99)mmol/L、(5.44±1.04)mmol/L、(1.42±0.36)mmol/L和(1.39±0.63)mmol/L、(4.04±0.78)mmol/L、(1.94±1.01)mmol/L,差异均有统计学意义(P<0.05)。[结论]糖尿病门诊健康教育不但可以改善患者的血糖水平,而且可以降低患者的TC和TG水平,提高HDL-C水平。

[ Objective ] To evaluate clinical effect of health education for diabetics in outpatient clinic. [ Methods ] A total of 120 patients with type 2 diabetes in our outpatient clinic were divided into 2 groups randomly ： experiment and control. The experiment group had 60 patients that received health edu- cation, while the control group had 60 patients that did not. Both groups kept the same pharmaeotherapy as prior to the education. Fasting plasma glucose （FPG） , postprandial 2h glucose （2hPG）, glyeosylated he- moglobin （ HbAIc ）, triglyceride（TG ）, total cholesterol （ TC ）, low density lipid cholesterol （ LDL - C ）, and high density lipid cholesterol （HDL - C） were measured before and after health education. [ Results ] In the experiment group, levels of FPG, 2hPG, HbA1 c were （ 8.0 ± 1.4 ） mmol/L, （ 12.2 ± 2.9 ） mmol/L, （ 7.5 ± 1.5 ） % and （ 6.5 ± 1.1 ） mmol/L, （ 8.3 ±2.2 ） mmol/L, （ 6.1 ± 0.7 ） % before and after health education respectively, which were different significantly （ P 〈 0.65 ）. TG, TC, HDL - C were （2.05 ± 0.99 ） mmol/L, （ 5.44 ± 1.04 ） mmoL/L, （ 1.42 ±0.36 ） mmol/L and （ 1.39 ± 0.63） mmol/L, （4.04 ±0.78 ） mmoL/L, （1.94 ± 1.01 ） mmol/L,which were also different significantly （P 〈 0.05）. [ Conclusion] Health education in outpatient clinic can improve patients＂ plasma glucose level and blood lipid level.