2型糖尿病患者接受门诊和住院自我管理教育的效果比较

Efficacy comparison of Outpatient Department education and inpatient self-management education in patients with type 2 diabetes

目的探讨2型糖尿病患者接受门诊自我管理教育和住院自我管理教育的效果，分析糖尿病健康教育的薄弱点。方法按1：1的比例选取2013年3—10月在毓璜顶医院内分泌门诊和内分泌病区的2型糖尿病初诊患者，每组各110例。门诊患者接受系统的门诊教育，由门诊专职教育护士简单的一对一指导，患者选择参加糖尿病相关知识讲座。住院患者住院期间接受糖尿病自我管理教育，由责任护士和教育护士共同负责，一对一指导和课堂授课穿插进行。采用糖尿病自我管理问卷比较两组患者糖尿病自我管理依从性。结果干预1个月后，门诊患者饮食、运动、药物治疗、血糖监测的依从性均低于住院患者，两组比较差异有统计学意义（P〈0．01）。结论住院治疗的2型糖尿病患者自我管理教育的效果高于门诊患者。管理者应分析门诊糖尿病患者教育存在的薄弱环节，探索行之有效的血糖监测教育方法，以提高患者血糖监测的依从性。

Objective To exploreihe effects of outpatient and inpatient serf-management education in patients with type 2 diabetes and analyze the weak spot of diabetes mellitus health education. Methods We selected in a 1：1 rate 110 newly diagnosed patients with diabetes mellitus in outpatient and endocrine ward from March 2013 to October 2013. Out-patients selectively received systematic outpatient education related to diabetes as one-to-one guidance by outpatient education nurses. Inpatients received diabetes self-management education as alternate one-to-one guidance and lectures undertaken by primary nurses and education nurses. Results One month after interventions, the comphance of diet, exercise, medications, and blood glucose monitoring in out-patients were all lower than that in inpatients （ P 〈0. 01 ）. Conclusions The effects of inpatient＇s self-management education are better than outpatient education. Managers should analyze the weak spot of outpatient diabetes mellitus health education, and explore the effective methods of blood glucose monitoring education to improve patients＇ blood glucose monitoring compliance.