2型糖尿病糖化血红蛋白控制中的慢病管理效果

Effect of chronic disease management strategy on controlling of glycosylated hemoglobin in patients with type 2 diabetes

目的探讨以护士为主导的慢病管理在2型糖尿病血糖控制中的作用.方法纳入本院收治的2型糖尿病患者69例,研究组38例,对照组31例.观察实施以护士为主导的慢病管理策略6个月后,对患者糖化血红蛋白(HbA1c)、血压、血脂及治疗依从性的影响.结果干预6个后,研究组HbA1c值下降程度显著优于对照组(P<0.05),同时收缩压及甘油三酯变化的改善程度优于对照组(P<0.05),研究组患者的治疗依从性优于对照组(P<0.05).结论以护士为主导的慢病管理策略能有效控制2型糖尿病患者的血糖,提高治疗依从性,有助于实现对糖尿病患者的有效管理.

Objective To explore a role of nurse-led chronic disease management strategy on controlling of blood glucose in patients with type 2 diabetes(T2DM).Methods A total of 69 T2DM patients were recruited and divided into study group(n=38)and control group(n=31).Glycosylated hemoglobin(HbA1c),blood pressure,blood lipid and treatment compliance were observed after 6 months of nurse-led chronic disease management strategy.Results After 6 intervention,the decrease degree of HbA1c,improvement of systolic blood pressure as well as triglyceride and treatment compliance in the study group were significantly better than that in the control group,which showed significant differences(P<0.05).Conclusion A nurse-ledchronic disease management strategy can significantly control the blood glucose,improve treatment compliance in patients with type 2 diabetes,and is benefit in effective management of patients with diabetes.