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目的探讨患者版目标管理手册对社区糖尿病患者的管理效果。方法选取中心管理的糖尿病患者158例,随机分为试验组和对照组,每组79例。两组患者均给予常规健康教育,试验组在此基础上接受目标管理手册管理。6个月后,各测1次空腹血糖(FBG)、血脂和糖化血红蛋白(Hb A1c),使用自我效能量表、自我管理行为量表对患者调查。结果两组患者6个月后,FBG和Hb A1c均显著降低,且试验组显著低于对照组(P<0.05);TC、TG、LDL和HDL均显著改善,且试验组TC、TG和LDL达标率显著高于对照组(P<0.05);试验组患者自我效能、自我管理行为各项得分均显著高于对照组(P<0.05)。结论目标管理手册可显著改善患者血糖水平,改善血脂代谢,提高患者的自我效能和自我管理行为,值得临床推荐。
Objective To explore the management effect of patient target management manual on community diabetic patients. Methods A total of 158 patients with diabetes mellitus under central management were randomly divided into experimental group and control group, with 79 cases in each group. The two groups of patients were given regular health education, the experimental group on the basis of this management manual to accept the target management. After 6 months, the FBG, lipid and Hb A1c were measured and the patients were investigated using the Self-efficacy Scale and Self-Management Behavior Scale. Results After 6 months, FBG and Hb A1c in both groups were significantly decreased, and the experimental group was significantly lower than the control group (P <0.05); TC, TG, LDL and HDL were significantly improved, and TC, TG and LDL The compliance rate was significantly higher than that of the control group (P <0.05). The scores of self-efficacy and self-management behaviors in the test group were significantly higher than those in the control group (P <0.05). Conclusion Objective management manual can significantly improve blood glucose levels, improve blood lipid metabolism, improve patient self-efficacy and self-management behavior, it is worth clinical recommendation.