糖尿病个体化教育的效果评价

Evaluation of the results of individualized diabetes education

目的 评估糖尿病个体化教育在糖尿病代谢控制中的作用。方法 该院将 12 0例糖尿病患者分为两组 ,个体强化教育组 (6 0例 )和一般传统教育组 (6 0例 )。个体教育组在一般的讲座教育后 ,再针对每 1例患者进行个体强化教育。传统教育组则进行一般的讲座教育。每例患者均于教育前和教育后测试糖尿病知识试卷 ,随访观察空腹血糖、餐后血糖、糖化血红蛋白 (HBA1C)、血脂 (TC、TG、LDL、HDL) ,了解患者对糖尿病的认识 ,分析糖尿病个体化教育对糖代谢和脂代谢的影响。结果 个体教育组空腹血糖控制不良占 10 % ,低于传统教育组 (2 2 .3% ) ,餐后血糖控制不良占 5 % ,低于传统教育组 (10 % ) ,糖化血红蛋白控制不良占 3.3% ,低于传统教育组 (8.3% ) ,血脂控制不良占 0 %、11.6 %、0 %、6 .6 7% ,低于传统教育组 (3.3%、15 %、1.7%、11.6 7% )。结论 糖尿病个体化教育能更有效地提高患者对糖尿病的认识 ,增强糖尿病患者自我管理和自我保健的能力 ,在糖尿病的防治中具有重要的意义。

Objective To evaluate the role of individualized diabetic education in improving the glucose and lipid metabolism of diabetic patient. Methods 120 cases of diabetics were divided into two groups :Intensive individual education group (n=60) and Traditional education group(n=60 ) , patients in the former group were given Intensive individual education after education of ordinary forum ,whereas patients in the latter group were given education of ordinary forum solely. A questionaire on diabetes to each patient and followup of his FBG、2hPG、HbA1c were performed in order to appreciate each patient's knowledge on diabetes and to evaluate the influence of individual education on glucose and lipid metabolism. Results Patients with unsatisfactory FBG、2hPG、HbA1c accounted for 10%,5%, 3.3% , respectively in Intensive individual education group which were significant lower than 22.3%,10%,8.3% in tne Traditional education group, and patients with unsatisfactory lipid control of TC, TG, LDL, HDL were 0%, 11.6%, 0%,6.6% in the former group which were also lower than those in the latter group (3.3%,15%,1.7%, 11.6%). Conclusion By intensive individual education, patient's knowledge regarding diabetes are much increased and their abilities of self management and self care handle more effectively. It is of great importance in prevention and treatment of diabetes.