CAJ | 학술논문

将216例糖尿病患者及其家属用机械抽样方式分为两组,在常规药物治疗的基础上,干预组对患者和家属共同进行健康教育、自我监测指导;对照组仅要求患者参与,干预期限为12个月.干预组患者生活习惯改善、知识结构水平提高;LDL-C、餐后2h血糖、糖化血红蛋白等指标改善,与干预前比较差异有统计学意义(均P＜0.05).对照组仅血压和空腹血糖与干预前差异有统计学意义.干预组患者家属对低血糖的识别与处理、药物治疗、定期监测知识均明显优于对照组,差异有统计学意义(均P＜0.05).提示家属参与的糖尿病家庭管理模式有利于糖尿病患者自我管理行为的建立.
장216례당뇨병환자급기가속용궤계추양방식분위량조,재상규약물치료적기출상,간예조대환자화가속공동진행건강교육、자아감측지도;대조조부요구환자삼여,간예기한위12개월.간예조환자생활습관개선、지식결구수평제고;LDL-C、찬후2h혈당、당화혈홍단백등지표개선,여간예전비교차이유통계학의의(균P＜0.05).대조조부혈압화공복혈당여간예전차이유통계학의의.간예조환자가속대저혈당적식별여처리、약물치료、정기감측지식균명현우우대조조,차이유통계학의의(균P＜0.05).제시가속삼여적당뇨병가정관리모식유리우당뇨병환자자아관리행위적건립.
A total of 216 patients with type 2 diabetes mellitus and their family members were randomly divided into intervention and control groups.On the basis of conventional drug therapy,for intervention group,the patients and their family members were instructed to participate in health education activities and self-monitoring guidance.For control group,only patients were required to participate.The intervention continued for 12 months.Compared with control group,the intervention group significantly improved their living habits and the level of knowledge structure.The levels of low-density lipoprotein (LDL),2 h postprandial blood glucose and glycated hemoglobin improved after intervening.And there were statistically significant differences (P ＜ 0.05).The family members of patients had more knowledge of identifying and dealing with low blood sugar while their knowledge of medication and regular monitoring was significantly better than that of control group.And there were statistically significant differences (P ＜ 0.05).Family-involved diabetic management is conducive for forming diabetic self-management behaviors.