上海医学
上海醫學
상해의학
SHANGHAI MEDICAL JOURNAL
2001年
4期
224-226
,共3页
糖尿病个体化教育%效果评价
糖尿病箇體化教育%效果評價
당뇨병개체화교육%효과평개
目的评估糖尿病个体化教育在糖尿病代谢控制中的作用。方法该院将120例糖尿病患者分为两组，个体强化教育组(60例)和一般传统教育组(60例)。个体教育组在一般的讲座教育后，再针对每1例患者进行个体强化教育。传统教育组则进行一般的讲座教育。每例患者均于教育前和教育后测试糖尿病知识试卷，随访观察空腹血糖、餐后血糖、糖化血红蛋白(HBA1C)、血脂(TC、TG、LDL、HDL)，了解患者对糖尿病的认识，分析糖尿病个体化教育对糖代谢和脂代谢的影响。结果个体教育组空腹血糖控制不良占10％，低于传统教育组(22.3％)，餐后血糖控制不良占5％，低于传统教育组(109％)，糖化血红蛋白控制不良占3.3％，低于传统教育组(8.3％)，血脂控制不良占09％、11.6％、0％、6.679％，低于传统教育组(3.3％、15％、1.79％、11.67％)。结论糖尿病个体化教育能更有效地提高患者对糖尿病的认识，增强糖尿病患者自我管理和自我保健的能力，在糖尿病的防治中具有重要的意义。
目的評估糖尿病箇體化教育在糖尿病代謝控製中的作用。方法該院將120例糖尿病患者分為兩組，箇體彊化教育組(60例)和一般傳統教育組(60例)。箇體教育組在一般的講座教育後，再針對每1例患者進行箇體彊化教育。傳統教育組則進行一般的講座教育。每例患者均于教育前和教育後測試糖尿病知識試捲，隨訪觀察空腹血糖、餐後血糖、糖化血紅蛋白(HBA1C)、血脂(TC、TG、LDL、HDL)，瞭解患者對糖尿病的認識，分析糖尿病箇體化教育對糖代謝和脂代謝的影響。結果箇體教育組空腹血糖控製不良佔10％，低于傳統教育組(22.3％)，餐後血糖控製不良佔5％，低于傳統教育組(109％)，糖化血紅蛋白控製不良佔3.3％，低于傳統教育組(8.3％)，血脂控製不良佔09％、11.6％、0％、6.679％，低于傳統教育組(3.3％、15％、1.79％、11.67％)。結論糖尿病箇體化教育能更有效地提高患者對糖尿病的認識，增彊糖尿病患者自我管理和自我保健的能力，在糖尿病的防治中具有重要的意義。
목적평고당뇨병개체화교육재당뇨병대사공제중적작용。방법해원장120례당뇨병환자분위량조，개체강화교육조(60례)화일반전통교육조(60례)。개체교육조재일반적강좌교육후，재침대매1례환자진행개체강화교육。전통교육조칙진행일반적강좌교육。매례환자균우교육전화교육후측시당뇨병지식시권，수방관찰공복혈당、찬후혈당、당화혈홍단백(HBA1C)、혈지(TC、TG、LDL、HDL)，료해환자대당뇨병적인식，분석당뇨병개체화교육대당대사화지대사적영향。결과개체교육조공복혈당공제불량점10％，저우전통교육조(22.3％)，찬후혈당공제불량점5％，저우전통교육조(109％)，당화혈홍단백공제불량점3.3％，저우전통교육조(8.3％)，혈지공제불량점09％、11.6％、0％、6.679％，저우전통교육조(3.3％、15％、1.79％、11.67％)。결론당뇨병개체화교육능경유효지제고환자대당뇨병적인식，증강당뇨병환자자아관리화자아보건적능력，재당뇨병적방치중구유중요적의의。
Objective To evaluate the role of individualized diabetic education in improving the glucose and lipid metabolism of diabetic patient. Methods 120 cases of diabetics were divided into two groups: Intensive individual education group (n= 60) and Traditional education group(n = 60 ), patients in the former group were given Intensive individual education after education of ordinary forum , whereas patients in the latter group were given education of ordinary forum solely. A questionaire on diabetes to each patient and followup of his FBG、2hPG、HbA1c were performed in order to appreciate each patient's knowledge on diabetes and to evaluate the influence of individual education on glucose and lipid metabolism. Results Patients with unsatisfactory FBG、2hPG、HbA1c accounted for 10% ,5% ,3.3%,respectively in Intensive individual education group which were significant lower than 22.3%, 10%, 8.3% in tne Traditional education group, and patients with unsatisfactory lipid control of TC, TG, LDL, HDL were %, 11.6%,0% ,6.6% in the former group which were also lower than those in the latter group (3.3%, 15%, 1.7%, 11.6% ).Conclusion By intensive individual education, patient's knowledge regarding diabetes are much increased and their abilities of self-management and self-care handle more effectively. It is of great importance in prevention and treatment of diabetes. (Shanghai Med J, 2001,24: 224-226)
