结构化教育模式在新诊断2型糖尿病患者中应用效果观察

Effects of structured diabetes education on new-diagnosed type 2 diabetes mellitus patients

目的探讨对新诊断2型糖尿病患者应用结构化教育模式进行一对一指导时,对患者血糖及自我管理能力的影响。方法将76例患者随机分为2组,常规教育组39例和结构化健康教育组37例,随访6月。比较2组患者基线与6月时的糖化血红蛋白(HbA1c)、自我管理活动能力问卷(SDSCA)评分及自我健康状况评分。结果 6月后2组患者HbA1c、SDSCA评分和自我健康评分均有明显改善(P<0.05),结构化教育组改善情况优于常规教育组(P<0.05)。结论与现有一对一指导模式相比,采用结构化教育的一对一指导模式更能改善新诊断2型糖尿病患者的血糖及自我管理能力。

Objective To investigate the effects of structured diabetes education on the patients with newly diagnosed type 2 diabetes, including the levels of blood glucose, ability of self-management, and their psychological situations. Methods Seventy-six patients were divided into two groups, receiving conventional education （n = 39） or structured educa- tion （n= 37） for 6 months. Blood glucose level, score of self-management （SDSCA）, and self-health evaluation at baseline and after follow-up, as well as the differences were compared between the two groups. Results All the parameters were significantly improved after 6 months, while the patients in the structured education group had more improvements （P〈0. 05）. Conclusions Compared to the current face-to-face diabetic education model, structured diabetes education effectively improve the glycemic control and self-management of the patients with newly diagnosed type 2 diabetes.