中国老年学杂志
中國老年學雜誌
중국노년학잡지
CHINESE JOURNAL OF GERONTOLOGY
2009年
21期
2715-2717
,共3页
张孟喜%马彩莉%刘幼硕%田英%潘小华%王艳姣%黄武%王翼%龙兆丰%高竹林%李艳群
張孟喜%馬綵莉%劉幼碩%田英%潘小華%王豔姣%黃武%王翼%龍兆豐%高竹林%李豔群
장맹희%마채리%류유석%전영%반소화%왕염교%황무%왕익%룡조봉%고죽림%리염군
糖尿病%老年%动态血糖监测%健康教育%血糖管理
糖尿病%老年%動態血糖鑑測%健康教育%血糖管理
당뇨병%노년%동태혈당감측%건강교육%혈당관리
Diabetes%Elderly%Continuous glucose monitoring system (CGMS)%Health education%Blood glucose management
目的 观察动态血糖监测(CGMS)期间进行阶段式强化健康教育对老年2型糖尿病(T2DM)患者血糖控制水平及健康教育效果的近、中期影响.方法 老年T2DM患者100例,随机分为试验组和对照组各50例,两组均进行72 h CGMS监测,监测前均接受糖尿病知识问卷调查,试验组每日下载血糖数据和图谱并根据结果与生活事件的联系进行针对性健康教育,连续4 d,对照组只在72 h CGMS结束后根据结果进行一次性教育,之后两组均采用快速血糖仪常规测量指尖多点血糖7 d,收集两组患者10 d的血糖值及住院天数.3个月后查两组患者的糖化血红蛋白、体重指数并再次进行糖尿病知识问卷调查.CGMS期间其他控制血糖措施两组间无差别.结果 试验组10 d的血糖均值中空腹血糖、早餐后2 h血糖、中餐前血糖、晚餐后2 h血糖、睡前血糖、凌晨3点血糖均低于对照组(P<0.05或P<0.01);血糖达标时间、低血糖发生次数、3个月后糖化血红蛋白均低于对照组(P<0.05或P<0.01),糖尿病知识问卷得分高于对照组(P<0.001).结论 CGMS期间应用每24 h下载的血糖结果进行阶段式强化教育对老年T2DM患者血糖控制水平及健康教育的近中期效果优于72 h一次性进行的教育.
目的 觀察動態血糖鑑測(CGMS)期間進行階段式彊化健康教育對老年2型糖尿病(T2DM)患者血糖控製水平及健康教育效果的近、中期影響.方法 老年T2DM患者100例,隨機分為試驗組和對照組各50例,兩組均進行72 h CGMS鑑測,鑑測前均接受糖尿病知識問捲調查,試驗組每日下載血糖數據和圖譜併根據結果與生活事件的聯繫進行針對性健康教育,連續4 d,對照組隻在72 h CGMS結束後根據結果進行一次性教育,之後兩組均採用快速血糖儀常規測量指尖多點血糖7 d,收集兩組患者10 d的血糖值及住院天數.3箇月後查兩組患者的糖化血紅蛋白、體重指數併再次進行糖尿病知識問捲調查.CGMS期間其他控製血糖措施兩組間無差彆.結果 試驗組10 d的血糖均值中空腹血糖、早餐後2 h血糖、中餐前血糖、晚餐後2 h血糖、睡前血糖、凌晨3點血糖均低于對照組(P<0.05或P<0.01);血糖達標時間、低血糖髮生次數、3箇月後糖化血紅蛋白均低于對照組(P<0.05或P<0.01),糖尿病知識問捲得分高于對照組(P<0.001).結論 CGMS期間應用每24 h下載的血糖結果進行階段式彊化教育對老年T2DM患者血糖控製水平及健康教育的近中期效果優于72 h一次性進行的教育.
목적 관찰동태혈당감측(CGMS)기간진행계단식강화건강교육대노년2형당뇨병(T2DM)환자혈당공제수평급건강교육효과적근、중기영향.방법 노년T2DM환자100례,수궤분위시험조화대조조각50례,량조균진행72 h CGMS감측,감측전균접수당뇨병지식문권조사,시험조매일하재혈당수거화도보병근거결과여생활사건적련계진행침대성건강교육,련속4 d,대조조지재72 h CGMS결속후근거결과진행일차성교육,지후량조균채용쾌속혈당의상규측량지첨다점혈당7 d,수집량조환자10 d적혈당치급주원천수.3개월후사량조환자적당화혈홍단백、체중지수병재차진행당뇨병지식문권조사.CGMS기간기타공제혈당조시량조간무차별.결과 시험조10 d적혈당균치중공복혈당、조찬후2 h혈당、중찬전혈당、만찬후2 h혈당、수전혈당、릉신3점혈당균저우대조조(P<0.05혹P<0.01);혈당체표시간、저혈당발생차수、3개월후당화혈홍단백균저우대조조(P<0.05혹P<0.01),당뇨병지식문권득분고우대조조(P<0.001).결론 CGMS기간응용매24 h하재적혈당결과진행계단식강화교육대노년T2DM환자혈당공제수평급건강교육적근중기효과우우72 h일차성진행적교육.
Objective To observe the influence of continuous glucose monitoring system (CGMS) of stage strengthen health education in blood glucose level and health education effect in elderly patients with type 2 diabetes ( T2DM) on the recent-medium term impact Methods One hundred elderly patients with T2DM were randomly devided into experimental and control groups, each group fifty patients. Two groups were given the CGMS for 72 h, and were all accepted the diabetes knowledge questionnaire before the monitoring. The experimental group was downloaded the blood glucose data and map every day for targeted education based on the results of the contact on life event for 4 d straight The control group only was given one-time education based on the results after 72 h CGMS. Then both groups were used the rapid blood glucose instrument to measure fingertips multi-point blood glucose conventionally for 7 d. The blood glucose value and the number of days hospitalized were collected. Three months later, two group were checked the HbAlc,body mass index and the diabetes knowledge questionnaire one more time. Other control blood glucose implements between two group were no difference. Results The blood glucose of fasting, 2 h after braekfast, before lunch, 2 h after super, before going to bed, 3 o'clock were lower in experimental group than those in control group(P<0. 05 or P <0. 01) , the time of reaching the standard of blood glucose, frequency of hypoglycemia, the level of HbA1c after three months were lower in experimental group than those in control group (P < 0. 05 or P < 0.01), the diabetes knowledge questionnaire scores were higher in experimental group than those in control group. Conclusions It is better to use the results of every 24 h downloading blood glucose to do the stage strengthen health education than that just to do one-time education based on the results after 72 h CGMS in blood glucose education level and health education effect in elderly patients with T2DM on the recent-medium term impact during CGMS .
