以目标管理为导向的健康教育在初发2型糖尿病患者延续护理中的应用效果评价

Evaluation of application effect of health education guided by management by objective on transitional care in patients with new-onset type 2 diabetes mellitus

目的探讨以目标管理为导向的健康教育方式在初发2型糖尿病患者延续护理中的应用效果。方法选取2016年11月~2017年4月某三级医院内分泌科糖尿病专科护士教育门诊挂号200例初发糖尿病患者。按随机数字表法将其随机分为干预组和对照组,每组各100例。干预组实施以目标管理为导向延续性护理模式。对照组实施常规管理。比较两组患者管理48周后患者糖化血红蛋白(HbA1c)、体重指数(BMI)、自我管理行为的变化情况。结果干预组患者接受管理后其HbA1c、BMI各项指标均明显优于对照组,差异有高度统计学意义(P <0.01)。干预组糖尿病自我管理各项评分均高于对照组,差异有高度统计学意义(P <0.01)。结论以目标管理为导向的健康教育方式理能够有效地改善患者HbA1c、BMI各项指标水平,并且实现患者自我行为改变,促进Hb A1c及BMI的达标。

Objective To investigate the application effect of health education directed by management by objective (MBO) on transitional care in patients with new-onset type 2 diabetes mellitus (T2DM). Methods From November 2016 to April 2017, 200 new-onset T2DM patients coded by the order of registration at outpatient diabetes education guided by diabetes specialist nurse of endocrinology at a tertiary hospital were enrolled, according to random number generator algorithm, they were randomly divided into control group(100 cases) and intervention group (100 cases). In the intervention group, patients were under transitional care model directed by MBO, whereas patients in the control group received the routine health management. Glycosylated hemoglobin (HbA1c), body mass index (BMI) and indices of self-management were assessed at baseline and after intervention for 48 weeks in all participants. Results After intervention, HbA1c, BMI in intervention group were better than control group, the differences were statistically significant (P < 0.01). The scores of all items of diabetes mellitus self-management were higher than control group, the differences were statistically significant (P < 0.05). Conclusion As an effective method of transitional care in new-onset diabetic patients, the health education guided by MBO could assist patients to improve self-management and control HbA1c and body weight.