电话随访可改善2型糖尿病患者生活质量

Life Quality of Patients with Type 2 Diabetes Improved by Follow- up Telephone

目的探讨电话随访干预对2型糖尿病患者生活质量的影响。方法将160例2型糖尿病患者随机分入随访组和对照组,每组80例。两组均按照2型糖尿病诊疗常规进行治疗和护理,随访组定期电话随访,对照组门诊随诊,干预1年。用糖尿病特异性生活质量量表修订版(A-DQOL)评定患者生活质量,用空腹血糖(FBG)、餐后血糖(PBG)水平评定血糖控制效果。结果在干预后6月末和1年末,随访组FBG、PBG控制水平低于对照组(t=9.378、6.952、3.336和2.897,P<0.01);ADQOL各因子分下降幅度随访组显著大于同期对照组(t=3.729、5.252、8.357、8.332、3.072、4.756、2.049和4.795,P<0.05)。随访组入院率显著低于对照组(χ2=15.092,P=0.000)。结论电话随访干预可明显改善2型糖尿病患者生活质量,而且快捷简便,经济实惠。

Objective To explore the influence of follow -up intervention by telephone on life quality of patients with type 2 diabe-tes.Methods All 160 patients with type 2 diabetes were randomly assigned into the follow -up group and the control group .Each had 80 cases.All patients in both groups were given conventional treating and nursing according to treatment specification of type 2 diabetes. Patients in the follow-up group received a follow -up intervention by telephone for a years while patients in the control group received an outpatient service follow -up.The patients＇quality of life were evaluated with Adjusted Diabetes Quality of Life Measure （ A -DQOL）.The control effect of blood -glucose was evaluated with fasting and postprandial blood-glucose.Results In the 6th and 12th af-ter intervention ,the degree of fasting and postprandial blood-glucose in the follow -up group were significantly lower than thosein the control group（t=9.378,6.952,3.336,2.897;P〈0.01）,the decrease ranges of all factors scores in the follow -up group were signifi-cantly higher than those in the control group （t=3.729,5.252,8.357,8.332,3.072,4.756,2.049,4.795;P〈0.05）.The admission rate in the follow-up group was significantly lower than that in the control group （χ2 =15.092,P=0.000）.Conclusion The follow-up intervention by telephone can significantly improve life quality of patients with type 2 diabetes.It is fast and convenient ,economical and practical .