个案管理模式对非住院糖尿病患者高血脂的影响

Case management model's effect on hyperlipidemia in diabetic outpatients

目的探讨个案管理模式对糖尿病患者高血脂的影响。方法对我院2014年3-6月住院的糖尿病患者进行随机分组,实验组实施个案健康支持管理,在出院前1周制订健康教育计划,实施为期6个月的糖尿病个案健康管理,对照组常规进行健康教育,分析两组空腹血糖、餐后2小时血糖、糖化血红蛋白、总胆固醇及甘油三酯的变化。结果糖尿病个案健康管理1个月后,两组空腹血糖、餐后2小时血糖、糖化血红蛋白、总胆固醇及甘油三酯均达标（P〉0.05）,6个月后,实验组此5项指标仍在控制标准之内,对照组5项指标均有不同程度的升高,两组比较差异均有统计学意义（P〈0.05）。结论糖尿病个案健康管理模式可以有效地干预糖尿病患者的高血脂,改进临床生化指标,达到有效控制糖尿病的目的。

Objective To explore the effect of case management model on hyperlipidemia in diabetic outpatients. Methods Patients with diabetes mellitus from Mar 2014 to Jun 2014 were enrolled and randomly divided into two groups. The patients in experimental group were treated with a health plan that was made personally for six months. Those of control group were treated with normal health education at the same time. The changes of fasting blood glucose, postprandial 2 hour blood glucose, HbAlc, total cholesterol and triglyceride were compared between experimental group and control group. Results After one month of health management, the five biochemical indexes above in each patient were all up to standard, the difference between two groups was not statistically significant （ P 〉0.05）. But, six months later, the indexes of patients in experimental group were still in control standard, while the control group showed different degrees of increase （ P 〈0.05）. Conclusion Diabetes health case management model can be an effective implementation of continuous care for discharged patients to help on a strict diet management, correcting bad habits, prevention of risk factors, improving clinical biochemical indexes, so as to achieve the purpose of effective control of diabetes mellitus.