不同频率家庭访视健康教育对糖尿病患者血糖的影响

Impact of different home visiting frequencies of health education on blood sugar of the diabetic patients

目的:比较不同频率家庭访视对糖尿病患者血糖的影响。方法:将200例2型糖尿病患者按随机数字表分为4组,每组50例,Ⅰ组每月1次门诊糖尿病教育并电话访视,Ⅱ组每周家庭访视1次,Ⅲ组每2周家庭访视1次,Ⅵ组每月家庭访视1次,访视时间6个月。比较访视前后空腹血糖、餐后2 h血糖、糖化血红蛋白水平。结果:访视前,4组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白无统计学差异;6个月后,Ⅱ组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白明显低于其他组(P<0.01)。结论:社区医生2周1次家庭访视,糖尿病患者血糖水平控制更佳。

Objective： To compare the impact of different home visiting frequencies on blood sugar of the diabetic patients. Method： Two hundred patients with type 2 diabetes were divided into four groups, each of whom had 50 cases by random number table. Group I were given once a month of home visiting of health education and the telephone interview, group II once a week of home visiting of health education, group III once every two weeks, and group IV once a month. All groups had been visited for 6 months. The fasting plasma glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin were compared before and after visits. Result： There was no significant difference in fasting plasma glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin in four groups before visits. After visits of six months, the plasma glucose, 2 h postprandial blood glucose, and glycosylated hemoglobin of group II were lower than those of other groups （P〈0.01）. Conclusion： Once every two weeks of home visiting of health education by the community doctors is better to control blood lucose of the diabetic patients.