摘要
目的分析互联网形式的同伴健康教育对1型糖尿病患儿血糖控制及治疗依从性的影响。方法选取1型糖尿病患儿30例为研究对象,随机分为同伴教育组及对照组,随访6个月,评价患儿血糖控制、糖尿病知识知晓率及自我管理水平。结果同伴教育组的空腹血糖、餐后2h血糖、HbA1c、日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、血糖变异系数(CV),低血糖时间百分比(PT1)、高血糖时间百分比(PT3)均较自身基线有所下降[(8.42±2.16)mmol/L对(7.64±1.80)mmol/L,(12.03±1.67)mmol/L对(9.19±0.89)mmol/L,(7.68±1.35)%对(6.51±0.96)%,(5.35±1.05)mmol/L对(4.09±1.03)mmol/L,(2.93±0.59)mmol/L对(1.80±0.62)mmol/L,(25.82±7.65)%对(18.09±4.38)%,(1.94±3.09)%对(0.90±2.10)%,(16.14±10.63)%对(10.16±9.95)%,P<0.05],且显著低于对照组,同伴教育组空腹血糖、餐后2h血糖、HbA1c达标率高于对照组(P<0.05)。自我管理评分高于对照组(26.33±2.68,22.59±4.78,P<0.05)。结论基于互联网形式的群组看病及同伴教育模式的健康教育,有利于血糖控制,提高自我管理水平,适合在1型糖尿病患儿中广泛应用。
Objective To explore the internet peer health education mode on blood glucose control in children with type 1diabetes and the effects of treatment adherence. Methods Totally 30 cases of children with type 1diabetes were divided into peer education group and the control group randomly and followed up for 6 months.Serum glucose,diabetes knowledge awareness and self management level were evaluated. Results In peer education group,fasting blood glucose,2h postprandial blood glucose,HbA1 c,mean amplitude of glycemic excursions(MAGE),absolute means of daily differences(MODD),blood glucose coefficient of variation(CV),hypoglycaemia time percentage(PT1),hyperglycemia time percentage(PT3)were decreased than the baseline[(8.42±2.16)mmol/L vs(7.64±1.80)mmol/L,(12.03±1.67)mmol/L vs(9.19±0.89)mmol/L,(7.68±1.35)% vs(6.51±0.96)%,(5.35±1.05)mmol/L vs(4.09±1.03)mmol/L,(2.93±0.59)mmol/L vs(1.80±0.62)mmol/L,(25.82±7.65)% vs(18.09±4.38)%,(1.94±3.09)% vs(0.90±2.10)%,(16.14±10.63)% vs(10.16±9.95)%,P<0.05]and they were significantly lower than those of the control group.Fasting glucose2 hpostprandial blood glucose,HbA1 cand success rate of education were higher than those of the control group(P<0.05),self management score was higher than that of the control group(26.33±2.68 vs 22.59±4.78,P<0.05). Conclusion The internet group medical visits and peer education mode of health education,have good to help children with type1 diabetes patients to achieve glycemic control,improve self management,which is suitable for wide application in children with type 1diabetes.
出处
《中国儿童保健杂志》
CAS
2015年第12期1300-1303,共4页
Chinese Journal of Child Health Care
