2型糖尿病患者自我管理行为及其对血糖控制效果的影响

Self-management behavior of patients with type 2 diabetes mellitus and its effect on blood glucose control

目的探讨2型糖尿病患者自我管理行为及其对血糖控制效果的相关性。方法选取2型糖尿病患者108例。干预前、干预后6个月检测空腹血糖(FPG)、餐后2 h血糖(2 h PBG)及糖化血红蛋白(HbA_1c),分析自我管理行为与血糖控制水平的相关性。结果 2型糖尿病患者自我管理行为总分为(87.29±17.53)分,得分指标66.27%,处于中等水平;干预后6个月,FPG、2 hPBG、HbA_1c水平均优于干预前,差异具有统计学意义(P<0.05);相关性分析显示自我管理行为各维度得分及总分与血糖水平呈显著负相关(P<0.01)。结论提高2型糖尿病患者自我管理能力,可改善其对血糖的控制能力。

Objective To explore the correlation between self-management behavior and its effect on blood glucose control of type 2 diabetes mellitus（ T2DM）. Methods A total of 108 patients with T2 DM were selected. Fasting plasma glucose（ FPG）,2 h postprandial blood glucose（ 2 h PBG） and glycosylated hemoglobin（ Hb A1c） were detected before and 6 months after intervention. And the relationship between self-management behavior and control efficacy of blood glucose was analyzed. Results Total self-management behavior score was（ 87. 29 ± 17. 53） points,with scoring index of 66. 27% in moderate level. Six months after intervention,the levels of FPG,2 h PBG and Hb A1 c were notably superior to that before intervention,and there were significant differences（ P〈 0. 05）. Correlation analysis showed that the score of each dimension and the total scores of self-management behavior were negatively correlated with the level of blood glucose（ P〈 0. 01）. Conclusion Increasing the self-management behavior can improve the control efficacy of blood glucose in patients with T2 DM.