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目的探讨患者—家庭一体化干预对出院后老年2型糖尿病患者长期血糖控制的影响。方法将2009年1月—2012年12月入住本院内分泌科的168例老年2型糖尿病患者随机分为观察组和对照组各84例,对照组仅患者进行常规糖尿病综合治疗及教育;观察组进行患者—家庭一体化干预。出院后随访1年,观察两组患者对糖尿病知识的认知程度、糖尿病自我管理能力及长期血糖控制的差异。计量资料用x珋±s表示,采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果干预后两组患者掌握糖尿病相关知识的认知程度及患者自我管理能力均较干预前明显升高,差异均有统计学意义(均P<0.05);观察组患者干预后两项指标均显著优于对照组患者(t=7.833、3.664,均P<0.05)。干预后两组患者每月低血糖次数及糖化血红蛋白均较干预前明显降低,差异均有统计学意义(均P<0.05);观察组患者干预后每月低血糖次数、糖化血红蛋白均显著低于对照组患者,差异有统计学意义(t=4.988、2.115,均P<0.05)。结论患者—家庭一体化干预有利于提高出院后老年2型糖尿病患者对疾病的认知和糖尿病自我管理能力,有利于出院后患者的长期血糖平稳控制。
Objective To explore the impact of patient-family integration intervention on long-term blood glucose control in elderly patients with type 2 diabetes after discharge. Methods One hundred and eighty-eight elderly patients with type 2 diabetes mellitus admitted to Department of Endocrinology from January 2009 to December 2012 were randomly divided into observation group (84 cases) and control group (84 cases). The control group received routine diabetes mellitus and education. The observation group Patient-family integration interventions. Followed up for 1 year after discharge from hospital, observed the cognitive level of diabetic patients, self-management ability of diabetes and long-term glycemic control differences between the two groups. Measurement data with x 珋 ± s said, using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results After intervention, the cognitive level of diabetes-related knowledge and self-management ability of patients in both groups were significantly higher than those before intervention (all P <0.05); both indexes in the observation group were significantly higher after intervention Which was better than that of the control group (t = 7.833, 3.664, all P <0.05). The number of hypoglycemia and HbA1c in the two groups after intervention were significantly lower than those before intervention (all P <0.05). The monthly number of hypoglycemia and HbA1c in the observation group were significantly lower than those in the control group The control group patients, the difference was statistically significant (t = 4.988,2.115, both P <0.05). Conclusions Patient-family integration intervention is beneficial to improve cognitive and diabetes self-management ability of elderly type 2 diabetic patients after discharge and is conducive to long-term stable control of blood glucose after discharge.