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目的:研究个体化健康教育对社区更年期糖尿病女性患者血糖控制的效果。方法:抽取80名已登记健康档案的患有糖尿病的女性常住居民作为研究对象,将不愿意签订服务协议并接受个体化健康教育服务的患者分为对照组(40例),自愿签订服务协议并接受个体化健康教育服务的患者分为观察组(40例),比较两组患者管理半年与管理1年结束后患者的血液指标、生存质量评分以及糖尿病患者健康管理率、规范管理率管理人群血糖控制率与其相关代谢指标控制率的变化。结果:两组患者治疗前后空腹血糖、餐后2 h血糖以及糖化血红蛋白浓度变化比较,差异有统计学意义(P<0.05),且观察组空腹血糖、餐后2 h血糖以及糖化血红蛋白浓度下降幅度更大;治疗前后收缩压、舒张压以及生存质量评分差异也较大。结论:个体化健康教育能有效提高患者对于糖尿病的重视,理解相关知识,提高患者的血糖控制能力,改善患者生存质量,实用性强,安全性好。
Objective: To study the effect of individualized health education on glycemic control in women with climacteric diabetes in community. Methods: Totally 80 female residents with diabetes registered with health records were selected as study subjects. Patients who did not want to sign service agreement and received individualized health education were divided into control group (40 cases) and signed service agreement voluntarily The patients receiving personalized health education were divided into observation group (40 cases), comparing the two groups of patients for six months and one year after the end of the management of patients with blood indicators, quality of life scores and health management of patients with diabetes, standardized management rate of management of blood glucose Control rate and related changes in metabolic rate control index. Results: Before and after treatment, fasting blood glucose, postprandial 2-h blood glucose and HbA1c change were significantly different (P <0.05), and the fasting blood glucose, postprandial 2-h postprandial blood glucose and HbA1c decreased Larger; before and after treatment, systolic blood pressure, diastolic blood pressure and quality of life score differences are also larger. Conclusion: Individualized health education can effectively improve the patients’ attention to diabetes, understand the related knowledge, improve the patients’ blood sugar control ability, improve the patients’ quality of life, practicability and safety.