天津护理

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糖尿病教育门诊在初发2型糖尿病患者治疗中的应用及效果评价

  

  1. 1.天津医科大学护理学院,天津   300070
    2.天津医科大学代谢病医院
  • 收稿日期:2017-01-16 修回日期:2017-03-07 出版日期:2017-06-28 发布日期:2017-07-12
  • 基金资助:
    天津市卫生和计划生育委员会科技课题(2015KZ091)

 
Application value of diabetes education clinic in newly diagnosed patients with type 2 diabetes mellitus

  1. 1.Nursing Institute of Tianjin Medical University, Tianjin 300070; 
    2.Metabolic Diseases Hospital of Tianjin Medical University
  • Received:2017-01-16 Revised:2017-03-07 Online:2017-06-28 Published:2017-07-12

摘要:  

目的:探索糖尿病教育门诊在初发2型糖尿病患者治疗中的应用及效果。方法:选取天津医科大学代谢病医院新确诊的2型糖尿病患者120例,随机分成干预组和对照组各60例。干预组除接受常规的医生门诊的治疗和教育之外由糖尿病教育门诊护士给予患者糖尿病健康教育,对照组只接受常规的医生门诊的治疗和教育,观察教育门诊干预前后对患者的知识及行为影响情况以及空腹血糖、餐后2小时血糖、糖化血红蛋白、体重指数的变化情况。结果:干预组在接受糖尿病教育门诊后糖尿病知识的掌握和行为的改变均优于对照组,两组差别有统计学意义(P<0.05);干预组患者的空腹血糖、餐后2 h血糖,糖化血红蛋白及体重指数的控制均优于对照组,两组差别有统计学意义(P<0.05)。结论:糖尿病教育门诊在初发2型糖尿病患者的治疗护理及管理方面可操作性及实用性强,有临床应用价值,值得推广。

关键词: 健康教育, 门诊, 2型糖尿病, 血糖监测, 糖化血红蛋白

Abstract: o evaluate the application value of the diabetes education clinic in newly diagnosed patients with type 2 diabetes mellitus. Methods: 120 newly diagnosed patients with type 2 diabetes mellitus were selected and randomly divided into the control group and the experimental group with 60 patients in each group. The patients in the experimental group received diabetes education management in diabetes education clinic by specialist nurse and standard treatment and education of diabetes by doctor, while patients in the control group only received standard treatment and education of diabetes by doctor. The assessment of knowledge and behavior changes and the fasting blood glucose (FBG), 2-hour Plasma Glucose, HbAlc and body mass index (BMI) were compared between the two groups. Results: Grasp of the knowledge of diabetes and the changes of behavior in experimental group after diabetes education clinic were significantly better than the control group(P<0.05); FBG, 2-hour Plasma Glucose, HbAlc and BMI in the experimental group were significantly better than those of the control group(P<0.05).Conclusion: Application of diabetes education clinic in treatment and nursing of patients shows maneuverability and practicality. It has clinical application value and deserves to be spread.

Key words: Health education, Type 2 diabetes mellitus, Blood glucose monitoring, HbAlc