自我管理教育在糖尿病前期患者中的效果研究.doc

自我管理教育在糖尿病前期患者中的效果研 究 ［ ］H的探讨自我管理教育在治疗糖尿病前期患者中的治疗效 果。方法选取2010年1月?2014年6月在我院进行糖尿病前期治 疗的80例糖尿病前期患者，采用随机数字表法分为两组：干预组(40 例)和对照组(40例)，干预组采用自我管理教育方式，对照组采用 常规管理方式。对两组患者进行干预前后血糖指标及自我管理评分、 自我管理教育前后自我效能分析、两组患者干预前后自我管理行为比 较，观察自我管理教育对糖尿病前期患者的疗效。结果从两组干预 前后血糖指标及自我管理量表得分情况分析，干预组FBG值、2hPG值、 HbAlC 值分别为(6. 25±0. 39) mmol/L、(7. 27±2. 66) mmol/L、(6. 12 ±0.26) %均小于对照组值，自我管理量表得分，干预组显著高于对照 组，两组差异具有统计学意义(P0. 05)；千预组患者在药物治疗、是 否合理饮食、是否规律运动、是否自我监测和复诊率较教育前均有明 显改善，差异具有统计学意义(P〈0.05)。从两组患者干预前后自我管 理行为比较，对照组效果明显低于干预组，两组差异具有统计学意义 (P0. 05)o结论自我管理教育能有效降低糖尿病前期患者血糖，提 高患者的自我效能，帮助患者养成良好的饮食和生活习惯，对治疗糖 尿病前期患者具有良好的临床意义。 ，供学和研宄 使用， 和著作权归原 所有， 己 ［关键词］自我管理教育；糖尿病前期；教育；效果研究 ［ ］R473.5 ［文?I标识码］A ［ ］2095-0616 (2017) 07-102-04 Study on effect of self-management education on patients with pre-diabetes YANG Qil SONG Jing2 ZHANG He3 GUO Yanhongl XU Hui3 1. Department of Endocrinology, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang 157000, China； 2. Dialysis Room, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang 157000, China； 3. Supply Room, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang 157000， China ［Abstract］ Objective To explore the curative effect of self-management education in treatment of patients with pre-diabetes. Methods 80 patients with pre-diabetes who were treated in our hospital from January 2010 to June 2014 in our hospital were selected. According to random number table, they were divided into the intervention group and the control group, with 40 in each. The intervention group was given self-management education while the control group was given conventional management method. Glycemic index and self-management score before and after the intervention , self-efficacy analysis before and after self-management education, self-management behavior before and after the intervention of two groups were compared. The curative effect of self-management education in treatment of patients with pre-diabetes were observed. Results Results