糖尿病患者健康管理中随访评估及分类干预对防治效果的影响

Influence on control effect of follow-up evaluation and classified intervention of health management in diabetes patients

目的探讨糖尿病患者健康管理中随访评估及分类干预对防治效果的影响。方法 150例糖尿病患者,健康管理中均给予随访评估及分类干预。比较患者干预前后的健康行为、血糖、血脂、血压水平。结果干预后,患者健康知识知晓度、自我保健意识、健康习惯养成的占比分别为86.00%、91.33%、90.67%,明显高于干预前的52.00%、54.00%、58.67%,差异有统计学意义(P<0.05)。干预后,患者空腹血糖(FBG)、餐后2 h血糖(2 h FBG)、糖化血红蛋白(Hb A1c)水平明显低于干预前,差异有统计学意义(P<0.05)。干预后,患者低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)、胆固醇、体质量指数(BMI)及舒张压、收缩压明显低于干预前,差异有统计学意义(P<0.05)。结论糖尿病患者健康管理中随访评估及分类干预效果较好,可提高患者的健康知识知晓水平,更好地控制血糖水平,降低血压、血脂水平,对患者生活质量的提高有积极意义。

Objective To investigate the influence on control effect of follow-up evaluation and classified intervention of health management in diabetes patients. Methods A total of 150 diabetic patients were given follow-up evaluation and classified intervention in health management. The health behaviors, blood glucose, blood lipid, blood pressure levels of all patients before and after intervention were compared. Results After intervention, the proportion of health knowledge awareness, self-care awareness and healthy habits were 86.00%, 91.33%, 90.67% respectively, which were significantly higher than 52.00%, 54.00% and 58.67% before intervention, the differences were statistically significant（P〈0.05）. The levels of fasting blood glucose（FBG）, postprandial 2 h blood glucose（2 h FBG） and glycosylated hemoglobin（Hb A1 c） after intervention were significantly lower than those before intervention, the differences were statistically significant（P〈0.05）. The levels of low density lipoprotein cholesterol（LDL-C）, triglyceride（TG）, cholesterol, body mass index（BMI）, diastolic blood pressure and systolic blood pressure after intervention were significantly lower than those before intervention, the differences were statistically significant（P〈0.05）. Conclusion The effect of follow-up evaluation and classification intervention of health management in diabetic patients is better. It can improve patients＇ awareness of health knowledge, better control the blood glucose level, lower the levels of blood pressure and blood lipid, which has positive significance for the improvement of patients＇ quality of life.