中青年糖尿病前期患者健康管理干预效果评价

Effect evaluation on health management intervention for young and middle-aged patients with prediabetes

目的评价中青年糖尿病前期患者健康管理干预的效果。方法选取我院体检中心收治的50例中青年糖尿病前期患者为研究对象。管理期限为8个月。对照组进行常规管理;实验组进行健康管理干预,包括发放相关宣传资料,建立互联网健康管理模式,促进组员之间的交流,引导患者适当运动,平衡心理压力,进行应对技能训练,掌握糖尿病健康知识,给予一定社会支持。比较实验组与对照组管理干预前后空腹血糖、餐后2h血糖水平和糖化血红蛋白水平以及糖尿病相关知识知晓率等指标。结果实验组空腹血糖、糖化血红蛋白、餐后2h血糖水平均较治疗前有明显下降,治疗后实验组明显低于对照组,差异有统计学意义(P<0.05);实验组与对照组患者的糖尿病相关知识知晓率分别为96.0%与68.0%,实验组糖尿病相关健康行为采纳率也高于对照组,差异有统计学意义(P<0.05)。结论中青年糖尿病前期患者的健康管理干预效果较为理想,能够显著改善患者血糖水平,提高患者对糖尿病知识的了解程度,具有临床推广的意义。

Objective To study and to analyze the effect of health management intervention on young and middle-aged patients with prediabetes.Methods Fifty cases of young and middleaged patients with prediabetes in our hospital were selected as the research subjects.The period of management was 8 months.The control group was given routine management,and the experimental group was given health management intervention,including dissemination of relevant information,establishing internet-based health management mode,promoting the communication among the group members,leading patients to perform appropriate exercise,balancing psychological stress,and performing the coping skills training and carrying out diabetes health knowledge,giving certain social support,comparing and analyzing the clinical indexes such as fasting blood glucose,postprandial 2 hblood glucose level,glycosylated hemoglobin level and the awareness rate of diabetes-related knowledge before and after treatment in the experimental group and in the control group.Results While after treatment,the levels were decreased in the experimental group.The experimental group was significantly lower than the control group after treatment,and the difference was statistically significant（P〈0.05）.The awareness rates of diabetes-related knowledge in the experimental group and in the control group were 96.0% and 68.0%respectively,the adoption rate of diabetes-related health behaviors in the experimental group was also higher than that in the control group,there was statistical difference（P〈0.05）.Conclusion The effect of health management intervention in young and middle-aged patients with prediabetes is relatively ideal,which can significantly improve the blood glucose level and enhance the understanding of diabetes knowledge,and it is worthy of clinical application.