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目的探讨自我管理模式在社区2型糖尿病管理中的的应用价值。方法随机筛选佛山市南海区2个社区的2型糖尿病患者作为研究对象,分别设为A组和B组,每组50例。A组接受自我管理模式管理,B组按照常规的2型糖尿病病例管理规范进行管理,两组均干预6个月。干预前后进行空腹血糖、餐后2 h血糖、血压、糖化血红蛋白、体质量指数测定。统计干预前后上述指标达标率差异,采用SPSS19.0统计软件,进行χ2检验和t检验。以P<0.05为差异有统计学意义。结果组内干预前后比较,A组空腹血糖、餐后2 h血糖、收缩压、糖化血红蛋白、体质量指数均较干预前明显降低(P均<0.05);B组空腹血糖、餐后2 h血糖、糖化血红蛋白均较干预前明显降低(P均<0.05),体质量指数较干预前升高(P<0.05)。组间干预后比较,A组空腹血糖、餐后2 h血糖、糖化血红蛋白、收缩压明显低于B组(P均<0.05);A组餐后2 h血糖、血压、糖化血红蛋白达标率明显高于B组(P均<0.05)。结论自我管理模式提高社区2型糖尿病患者各项指标的综合达标率,预防与高血脂和高血糖相关疾病的发生,使2型糖尿病管理效果及质量明显提高。
Objective To explore the value of self-management in the management of community type 2 diabetes. Methods A total of 50 patients with type 2 diabetes mellitus (T2DM) were randomly selected from two communities in Nanhai District, Foshan City. Group A received self-management mode management, Group B was managed according to the conventional type 2 diabetes case management protocol, and both groups intervened for 6 months. Before and after intervention, fasting blood glucose, 2 h postprandial blood glucose, blood pressure, HbA1c and body mass index were measured. Statistics intervention before and after the above indicators compliance rate differences, using SPSS19.0 statistical software, χ2 test and t test. P <0.05 for the difference was statistically significant. Results The fasting blood glucose, postprandial blood glucose, systolic blood pressure, glycosylated hemoglobin and body mass index in group A were significantly lower than those before intervention (all P <0.05). The levels of fasting blood glucose, postprandial blood glucose , HbA1c were significantly lower than those before intervention (all P <0.05), and the body mass index was higher than before intervention (P <0.05). The fasting blood glucose, postprandial 2-hour postprandial blood glucose, glycosylated hemoglobin and systolic blood pressure in group A were significantly lower than those in group B after intervention (P <0.05). The standard rates of blood glucose, blood pressure and glycosylated hemoglobin in group A at 2 h were significantly higher In group B (all P <0.05). Conclusion The self-management mode can improve the comprehensive compliance rate of various indicators of community type 2 diabetes patients and prevent the occurrence of diseases associated with hyperlipidemia and hyperglycemia, thus improving the management effect and quality of type 2 diabetes mellitus.