论文部分内容阅读
目的探讨综合干预对社区2型糖尿病(T2DM)患者自我血糖监测认知态度和行为及血糖控制的影响。方法选取清远市清城区凤城社区卫生服务中心管理的100例(T2DM)患者作为研究对象,随机分为对照组和观察组,每组50例,所有患者均予阿卡波糖与二甲双胍降糖和控制饮食等T2DM常规治疗,对照组患者予以一般临床护理干预,观察组患者在对照组基础上行综合干预,干预3个月后比较两组患者自我血糖监测认知态度评分、遵医行为率及血糖水平。结果干预后观察组患者自我血糖监测认知态度评分(84.56±16.32)分,高于对照组(P<0.05);观察组饮食控制(84.00%)、依从服药(92.00%)、血糖监测(88.00%)及运动锻炼(84.00%)均高于对照组;观察组空腹血糖(FBG)(6.02±1.20)mmol/L、餐后2 h血糖(2h PG)(10.04±1.64)mmol/L及糖化血红蛋白(Hb Alc)(4.46±1.22)%均分别低于对照组(P<0.05)。结论综合干预可改善社区T2DM患者自我血糖监测认知态度和血糖控制水平,并可提高糖尿病患者遵医行为率。
Objective To explore the effect of comprehensive intervention on self-monitoring of blood glucose, attitude and behaviors and glycemic control in community-type 2 diabetes mellitus (T2DM). Methods A total of 100 patients (T2DM) managed by Fengcheng Community Health Service Center in Qingcheng District of Qingyuan City were selected and randomly divided into control group and observation group, with 50 patients in each group. All patients were given hypoglycemic acarbose and metformin And control diet T2DM routine treatment, the control group of patients with general clinical nursing intervention, the observation group patients in the control group based on comprehensive intervention intervention three months later, self-monitoring of blood glucose monitoring cognitive attitude score, compliance rate and Blood sugar level. Results After intervention, the self-rated blood glucose monitoring scores (84.56 ± 16.32) in observation group were higher than those in control group (84.00%), compliance with medication (92.00%), blood glucose monitoring %) And exercise training (84.00%) were higher than those in the control group. The fasting blood glucose (FBG), postprandial 2h PG (10.04 ± 1.64) mmol / L, Hb Alc (4.46 ± 1.22)% were lower than the control group (P <0.05). Conclusion Comprehensive intervention can improve self-monitoring of blood glucose in community T2DM patients with cognitive attitude and blood glucose control, and can improve the compliance rate of diabetic patients.