“看图对话”对初发2型糖尿病患者血糖水平的影响

Look at the picture “dialogue”blood sugar levels in patients with incipient type 2 diabetes

目的研究"看图对话"对初发2型糖尿病患者血糖水平的影响。方法将160例初发2型糖尿病患者按照随机分组法分成实验组和对照组,每组各80例。实验组采用国际糖尿病联盟推出的4幅"看图对话"进行健康教育,对照组采用传统的多媒体和发放健康教育资料进行健康教育。安排8位患者为一组,每周进行1次,每次60 min,连续治疗8周后进行评定,观察干预前后患者空腹血糖、餐后2 h血糖、糖化血红蛋白以及患者对治疗依从性的影响。结果健康教育前,2组患者FPG、2 h PG、Hb A1c比较差异无统计学意义(P>0.05)。健康教育后,实验组FBG为(6.2±2.4)mmol/L,2h PG为(7.8±2.1)mmol/L,Hb A1c为(6.3±1.5)%,对照组80例患者实施教育后FBG为(8.3±3.2)mmol/L,2h PG为(10.1±3.9)mmol/L,Hb A1c为(7.5±1.8)%,实验组明显优于对照组,差异均有统计学意义(P<0.01)。健康教育前,2组患者饮食、运动、按时服药、自我监测和定期复查的依从性差异无统计学意义(P>0.05)。健康教育后,试验组饮食、运动、按时服药、自我监测和定期复查的依从性明显提高,与对照组比较差异有统计学意义(P<0.01)。结论 "看图对话"对初发2型糖尿病患者血糖水平有明显的改善,且能提高患者对治疗的依从性。

Objective Study the picture ＂dialogue＂ blood sugar levels in patients with incipient type 2 diabe- tes. Methods 160 patients with newly diagnosed type 2 diabetic patients were divided into groups according to randomized experimental group and control group, 80 cases in each group. The experimental group the International Diabetes Federation launched four ＂plug dialogue＂ health education control group using traditional multimedia health education materials and disseminate health education. Arrange eight patients per group, for a second week, every 60 min, continuous treatment were assessed after eight weeks, before and after the intervention fasting blood glucose, postprandial 2h blood glucose, glycosylated hemoglobin and affect patient adherence to treatment. Results Two groups of patients before health education FPG, 2hPG, HbA1 c difference was not statistically significant （P 〉0. 05）. After health education, the experimental group FBG was （6. 2± 2.4） mmol/L, 2hPG was （7. 8 ± 2. 1 ） mmol/L, HbA1 c was （6. 3 ± 1.5 ） %, 80 patients in the control group to implement after education FBG was （8. 3 ±3.2） mmol/L, 2hPG was （ 10. 1 ± 3.9） mmol/L, HbA1 c was （7. 5 ±1.8） %, the experimental group than the control group, the differences were statistically significant （ P 〈 0.01 ）. Two groups of patients before education diet, exercise, take medication, self-monitoring and periodic review of compliance was no significant difference （P 〉 0. 05 ）. After health education, the experimental group diet, exercise, take medication, self-monitoring and periodic review of compliance improved significantly compared with the control group, the difference was statistically significant （P 〈0. 01 ）. Conclusion ＂Figure Dialogue＂ for newly diagnosed type 2 diabetic patients blood glucose levels have significantly improved, and can improve patient adherence to treatment.