健康教育对糖尿病前期患者代谢指标的影响

Effect of Health Education on Metabolic Parameters in Patients with Pre-Diabetes Mellitus

【目的】观察专科门诊教育对糖尿病前期患者代谢指标及干预依从性的影响。【方法】选择对社区居民进行健康体检及糖尿病义诊时筛选出符合糖尿病前期标准的患者共138例，随机分为观察组70例，对照组68例。对观察组实施系统的健康教育，定期跟踪回访，对照组未进行系统健康教育，随访1年。比较两组患者的代谢指标、糖尿病发病率及干预依从性。【结果】观察组患者的干预依从性、糖尿病发病率显著优于对照组，代谢指标均显著低于对照纽（P〈0．05）。【结论】健康教育可有效提高糖尿病前期患者干预依从性，降低糖尿病发病率及代谢指标控制，是防止糖尿病前期患者发展为糖尿病的有效手段。

[Objective]To observe the effect of the special education on the metabolic indexes of the patients with pre-diabetes in the early stage and the compliance by intervention.[Methods]On the base of health examination and diabetic clinic for the community residents, we screened a total of 138 cases of patients of prediabetes in accordance with standards whom were randomly assigned to the observation group （70 cases） and the control group （68 cases）. After the implementation of health education in the observation group, we regularly followed up for 1 years. [Results]The metabolic parameters, the incidence of pre-diabetes and the intervention compliance of the two groups were compared. The intervention compliance and pre-diabetes incidence of the observation group were significantly better than those in the control group （ P 〈0.05）. [Conclusion] Health education can effectively improve the compliance of patients with pre-diabetes, reduce the incidence of pre-diabetes and metabolic index control. It is an effective method to prevent the development of pre-diabetes into diabetic mellitus.