关键词: 老年2型糖尿病, 个案管理, 血糖

Abstract: Objective: To evaluate intervention effect of case management on blood sugar control level and the ability of self-management of elderly outpatient with type 2 diabetes.  Methods: 100 cases were randomly divided into intervention group (n=50) and control group (n=50) and were treated by a team of endocrinologist, dietician, diabetes specialist nurses. The patients of intervention group accepted the case management and follow-up of 6 months, the patients in control group accepted routine outpatient guidance, big lecture activities on a regular basis. Using repetitive measure analysis of variance, the patients’ blood sugar, glycosylated hemoglobin (HbA1c), blood lipid and self management level, the indicators of psychological anxiety of all patients were compared between two groups before intervention, after intervention 6 months.  Results: After case management, the 2h postprandial blood glucose, fasting glucose, HbA1c, blood lipid in the intervention group were superior to that of control group significantly (P<0.01), the self management ability (including reasonable diet, exercise and blood sugar monitoring, according to medical medicine, foot care knowledge) and psychological anxiety was also better (P<0.01).Conclusion:  The case management for elderly patients with type 2 diabetes can improve metabolism, help to reduce blood sugar, promote self management behavior, master a healthy diet and sports science, ease anxiety effectively.

Key words: Elderly patients with type 2 diabetes, Case management, Blood sugar