对糖尿病出院病人实施个性化门诊回访干预的效果评价

Evaluation on effect of personalized outpatient visits intervention for discharged patients with diabetes

[目的]探讨个性化回访干预对2型糖尿病出院病人血糖代谢和自我管理水平的干预效果。[方法]将160例2型糖尿病出院病人随机分为观察组和对照组各80例,对照组接受常规糖尿病随访,观察组接受6个月个性化门诊回访干预和随访,比较干预前和6个月时两组病人体重指数(BMI)、糖化血红蛋白(HbA1c)、血糖、总胆固醇、甘油三酯和自我护理行为的变化。[结果]两组干预后HbA1c、血糖和自我护理行为评分均较前有显著变化,差异有统计学意义(P<0.05);干预后两组HbA1c、餐后2h血糖和自我护理行为评分比较,差异有统计学意义(P<0.05),观察组优于对照组。[结论]个性化回访干预可以显著提高其自我管理水平,对病人的血糖代谢水平有一定的改善。

Objective：To probe into effect of personalized outpatient visits intervention for glucose metabolism and self management level of dis-charged patients with type 2 diabetes.Methods：A total of 160 cases of dis-charged patients with type 2 diabetes were randomly divided into observa-tion group and control group,80 cases in each.Patients in control group received conventional diabetes follow up,patients in observation group re-ceived six months of personalized clinic follow up and intervention,then to compare the changes of body mass index （BMI）,glycated hemoglobin （HbA1c）,glucose,total cholesterol,triglycerides and self care behaviors in two groups of patients before intervention and 6 months after interven-tion.Results：After intervention,HbA1c,blood glucose and self care be-havior scores in both groups had significant change than before interven-tion,and the difference was statistically significant （P〈0.05）;after the in-tervention,there was statistically significant difference in HbA1c,2 h post-prandial blood glucose and self care behavior scores between both groups （P〈0.05 ）,that in observation group was better than that in control group.Conclusion：personalized visit interventions can significantly im-prove their self management level,and can improve the level of glucose metabolism in patients to some extent.