摘要
目的:观察强化糖尿病教育对老年2型糖尿病患者血糖控制的影响,并对教育的方法模式及患者的顺应性作出评价。方法:①随机选取老年2型糖尿病患者156例,均为2004-03/07青岛大学医学院附属医院门诊就诊患者,年龄(64.7±6.6)岁,病程(10.54±7.06)年。②入选患者在原有糖尿病治疗方案的基础上进行强化糖尿病教育:入选后半年之内每月进行一次糖尿病教育,半年后每3个月一次教育,教育以糖尿病有关知识专题集体讲座为主,辅以答疑。专人负责电话通知患者教育讲座的具体的时间、地点和内容。每次讲座时监测空腹血糖、餐后2h血糖,入选时、教育后第6,12个月测定糖化血红蛋白;同时记录患者接受教育频率,计算依从率。③采用随机区组设计的方差分析(广义线性模型)分析数据完整的患者的空腹血糖、餐后2h血糖及糖化血红蛋白随时间变化情况(入选时、第6,12个月时)。结果:①依从率:入选时156例,第2次教育时为125例,依从率74.8%,随着时间的延长,接受强化教育的患者逐渐减少,至第6个月时依从率28.1%,至1年时仅有33例接受教育,依从率为21.2%。②完成全程教育的33例患者的资料:教育第6,12个月时的空腹血糖、餐后2h血糖较入选时下降[空腹血糖:(7.9±2.1),(7.8±1.4),(9.7±2.1)mmol/L,F=31.05,P<0.01;餐后2h血糖:(12.0±4.0),(12.2±3.3),(17.8±3.8)mmol/L,F=56.61,P<0.01];糖化血红蛋白在教育第6,12个月也较入选时下降,但无统计学意义[(7.0±1.1)%,(6.9±1.1)%,(7.6±1.7)%,F=2.97,P=0.06]。结论:强化糖尿病教育可使老年2型糖尿病患者血糖有效持续稳定地控制,但患者接受强化教育的依从性差。
AIM： To observe the effect of intensive diabetes education on the blood sugar control of the aged patients with type 2 diabetes, and assess the educational model and the compliance of patients. METIBODS： ①Totally 156 elderly outpatients with the type 2 diabetes, who aged （64.7±6.6） years with （10.54±7.06） years of course of disease from the Hospital affiliated Medical School of Qingdao University ware randomly recruited from March to July 2004. ②All patients received intensive diabetes education besides the treatment strategy for diabetes： The special lectures on diabetes control ware given every month for the first half a year, following by once every 3 months to 1 year. The education focused on the knowledge about diabetes meUitus assisting with questions and answers. The detail time, place and content of the lectures ware informed by special parsons by phone. The fasting blood glucose, and postprandial 2 hours blood glucose ware monitored at every visit; glycosylated hemoglobin （HbAlc） was assessed at the 6^th and 12^th months after education. Compliance rate was assessed according to the frequency received intensive education. ③Randomized block designed analysis of variance （general linear model） was adopted to explore the change condition of fasting blood glucose postprandial 2 hours blood glucose and HbAlc as time passed （at the time point of beginning, the sixth month and twelfth month. RESULTS：①Compliance rate： 156 cased ware recruited, and 125 left at the twice education with the compliance rate of 74.8%; the patients joined the education ware decreased with time, to the 6^th month, the compliance rate was 28.1%, and to 1 year, only 33 cases participated the education with the compliance rate of 21.2%. ②Data on the 33 patients completed the education： The levels of fasting blood glucose, and postprandial 2 hours blood glucose ware decreased compared with those,at the beginning [fasting blood sugar： （7.9±2.1）, （7.8±1.4）, （9.7± 2.1） mmoi/L, F=31.05
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2007年第17期3228-3230,共3页
Journal of Clinical Rehabilitative Tissue Engineering Research
基金
美国礼来公司资助项目~~
