中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
5期
639-640
,共2页
何艺芬%黄昭穗%殷婷婷%栾丽丽%黄昭瑄
何藝芬%黃昭穗%慇婷婷%欒麗麗%黃昭瑄
하예분%황소수%은정정%란려려%황소선
健康教育%2型糖尿病%急性并发症
健康教育%2型糖尿病%急性併髮癥
건강교육%2형당뇨병%급성병발증
Health education%Type 2 diabetes%Acute complications
目的 研究初诊2型糖尿病患者强化健康教育干预对并发急性并发症的影响.方法 收集初诊患者324例,完全随机分成2组,观察组159例,予以糖尿病健康教育强化治疗,每个月安排1次健康教育讲座及电话随访,每次1～2h,共3年.对照组165例,予以一般性糖尿病健康教育,以课堂教育为主,宣传资料内容同观察组.比较2组急性并发症的发生率.结果 随访3年,观察组失访19例,对照组失访23例.2010年,观察组发生严重低血糖1例；对照组发生严重低血糖15例,酮症酸中毒7例,非酮症性高渗综合征11例.观察组急性并发症的发生率明显低于对照组[0.7％ (1/140)比23.2％ (33/142)],差异有统计学意义(P＜0.05).结论 系统性健康教育可明显降低2型糖尿病患者并发急性并发症的发生率.
目的 研究初診2型糖尿病患者彊化健康教育榦預對併髮急性併髮癥的影響.方法 收集初診患者324例,完全隨機分成2組,觀察組159例,予以糖尿病健康教育彊化治療,每箇月安排1次健康教育講座及電話隨訪,每次1～2h,共3年.對照組165例,予以一般性糖尿病健康教育,以課堂教育為主,宣傳資料內容同觀察組.比較2組急性併髮癥的髮生率.結果 隨訪3年,觀察組失訪19例,對照組失訪23例.2010年,觀察組髮生嚴重低血糖1例；對照組髮生嚴重低血糖15例,酮癥痠中毒7例,非酮癥性高滲綜閤徵11例.觀察組急性併髮癥的髮生率明顯低于對照組[0.7％ (1/140)比23.2％ (33/142)],差異有統計學意義(P＜0.05).結論 繫統性健康教育可明顯降低2型糖尿病患者併髮急性併髮癥的髮生率.
목적 연구초진2형당뇨병환자강화건강교육간예대병발급성병발증적영향.방법 수집초진환자324례,완전수궤분성2조,관찰조159례,여이당뇨병건강교육강화치료,매개월안배1차건강교육강좌급전화수방,매차1～2h,공3년.대조조165례,여이일반성당뇨병건강교육,이과당교육위주,선전자료내용동관찰조.비교2조급성병발증적발생솔.결과 수방3년,관찰조실방19례,대조조실방23례.2010년,관찰조발생엄중저혈당1례；대조조발생엄중저혈당15례,동증산중독7례,비동증성고삼종합정11례.관찰조급성병발증적발생솔명현저우대조조[0.7％ (1/140)비23.2％ (33/142)],차이유통계학의의(P＜0.05).결론 계통성건강교육가명현강저2형당뇨병환자병발급성병발증적발생솔.
Objective To study the influences of systematic health education on acute complications with newly diagnosed type 2 diabetic patients.Methods All 324 patients were randomly divided into observation group (n =159) and control group (n =165).The patients of observation group were treated with intensive diabetes education intervention.All participants received health education for 1-2 hours once a month by health education seminars and telephone follow-up for three years.The patients in control group were treated with ordinary diabetes education intervention,and all of the participants received diabetes self-education training followed by diabetes health publicity materials.The materials were as same as observation group.The acute complications rates between the observation group and the control group were compared.Results In follow-up period,19 cases in observation and 23 cases in control group lost.In 2010 year,one case occurred hypoglycaemia in observation group; 15 patients occurred hypoglycaemia,and ketoacidosis was seen in 7 cases,11 cases undertook nonketotic hyperosmolar syndrome in control group.Compared with the control group,the acute complication rates were significantly lower in observation group [0.7％ (1/140) vs 23.2％ (33/142)] (P＜0.05).Conclusion Systematic health education can decrease the acute complication rates among type 2 diabetic patients.
