聚焦解决模式对2型糖尿病患者代谢指标的影响研究

Effect of Solution Focused Approach Model on Metabolic Parameters of Patients with T2DM

目的探讨聚焦解决模式对2型糖尿病患者代谢指标的影响。方法选取2011年10月—2012年9月在南通大学附属医院糖尿病教育门诊就诊的2型糖尿病患者120例,采用随机数字表法将其分为对照组和试验组,各60例。对照组采用传统模式进行教育,试验组运用聚焦解决模式对患者进行指导。分别于干预前、干预后6个月对患者进行代谢指标的测量。记录体质指数(BMI)、血压、糖化血红蛋白、空腹血糖、餐后2 h血糖、总胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白及低血糖发生率。结果干预前两组患者BMI、收缩压、舒张压、糖化血红蛋白、空腹血糖、餐后2 h血糖、总胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白及低血糖发生率比较,差异均无统计学意义(P>0.05)。干预后两组总胆固醇、低密度脂蛋白比较,差异均无统计学意义(P>0.05);试验组BMI、收缩压、舒张压、糖化血红蛋白、空腹血糖、餐后2 h血糖、三酰甘油及低血糖发生率低于对照组,高密度脂蛋白高于对照组(P<0.05)。结论运用聚焦解决模式可以改善2型糖尿病患者糖化血红蛋白、空腹血糖、餐后2 h血糖和三酰甘油水平,并能降低低血糖发生率。

Objective To discuss the effect of solution focused approach model on metabolic parameters of patients with the type 2 diabetes. Methods 120 outpatients with type 2 diabetes treated in Department of Health Education,the Affiliated Hospital of Nantong University from October 2011 to September 2012 were selected and equally divided into experimental group and control group by means of random number table. The control group received conventional education,while the experimental group was intervened with solution focused approach. Patients＇ metabolic parameters were measured before intervention and after six months＇ intervention, including body mass index（ BMI）, blood pressure（ BP）, glycosylated hemoglobin（ Hb A1c）,fasting plasma glucose（ FBG）,2 h postprandial glucose（ 2 h PBG）,total cholesterol（ TC）,Triglyceride（ TG）,high density lipoprotein（ HDL）,low density lipoprotein（ LDL）,incidence rate of hypoglycemia. Results The differences of patient＇s BMI,SBP,DBP,Hb A1 c,FBG,2 h PBG,TC,TG,HDL,LDL and incidence of hypoglycemia between the two groups had no statistically significance before intervention（ P〉0. 05）. After intervention,TC and LDL between the two group had no statistical significance（ P〈0. 05）; BMI,SBP,DBP,Hb A1 c,FBG,2 h PBG,TG and the incidence rate of hypoglycemia in experimental group were lower than those in control group and HDL was higher than that in control group（ P〈0. 05）.Conclusion Solution focused approach model can improve patient＇ s Hb A1 c,FBG,2 h PBG,TG and reduce the incidence of hypoglycemia.