“三师共管”对2型糖尿病患者自我管理及血糖控制状况的影响

The Effect of "Three Division Co Management" on Self-Management and Blood Glucose Control in Patients With Type 2 Diabetes Mellitus

目的观察＂三师共管＂对2型糖尿病患者自我管理、血糖控制状况影响。方法选取2014年10月~2015年4月我院出院的2型糖尿病患者267例作为研究对象,根据居住街道随机分为社区A和社区B,社区A应用常规护理,社区B在此基础上采取＂三师共管＂。使用CDC慢性非传染疾病预防控制中心研制的糖尿病自我管理知识、态度、行为（KAB）评价简化量表对糖尿病患者的自我管理水平进行全面详细的评价;采用空腹血糖、糖化血红蛋白（Hb A1c）、糖化血清白蛋白（GA）评估患者血糖控制情况。结果社区B的2型糖尿病患者经干预后空腹血糖（FPG）、糖化血红蛋白、糖化血清白蛋白明显低于社区A,差异有统计学意义（P〈0.05）;社区B的2型糖尿病患者自我管理KAB水平高于社区A,差异有统计学意义（P〈0.05）。结论 ＂三师共管＂能有效控制血糖,提高2型糖尿病患者自我管理KAB水平。

Objective To observe the influence of the ＂three division co management＂ on self-management and blood glucose control in patients with type 2diabetes mellitus. Methods From October 2014 to April 2015,267 cases with type 2 diabetes mellitus in our hospital were selected as study subjects,according to the residential streets the patientswere randomly divided into community A and community BThe patients in community A were applied to routine nursing,and patients in community B were taken a total of the ＂three division co management＂ on this basis..Diabetes self-management knowledge, attitude and behavior（KAB） evaluation of the self management level of diabetic patients were evaluated by using the CDC of the chronic non communicable disease prevention and control center. Fasting blood glucose, glycosylated hemoglobin（Hb A1c）, glycosylated serum albumin（GA） were used to assess the patient＇s blood glucose control. Results FPG,Hb Alc,and GA level of patients in community B were significantly lower than those in community A,（P〈0.05）,and KAB self management level is higher than that in the community A, the difference was statistically significant（P〈0.05）.Conclusion The＂three division co management＂can effectively help patients with type 2 diabetes mellitus tocontrol blood glucoseand improve the self-management of KAB level it is worthy of clinical application.