摘要
目的 研究糖尿病教育在糖尿病控制中的作用。方法 用随机单盲对照法 ,将 147例糖尿病患者分为强化教育组 (A) ,一般教育组 (B) ,A组在一般的糖尿病教育后 ,针对每一例患者进行个体强化教育。 B组则仅进行一般的糖尿病教育。每例患者均于教育前、教育后 3个月末、教育后 6个月末调查糖尿病知识积分 (DKN) ,精神症状自评积分 (SCL-90 ) ,每日摄取热量、每周主动运动治疗次数及每周血 (尿 )糖监测次数 ,并检测糖化血红蛋白 (Hb A1c) ,血脂 (TC、TG) ,了解患者对糖尿病的认识、自控水平、心理精神障碍及糖、脂代谢改善情况 ,进行组内教育前后及同期组间比较。结果 A组在教育后 3个月末和 6个月末 ,自控能力明显提高 ,DKN、Hb A1c、TC、TG等指标改善明显优于 B组 (P<0 .0 1或 P<0 .0 5 )。在 SCL- 90的 9组症状群中 ,A组在教育后均有明显改善 ,且优于同期 B组 (P<0 .0 1或 P<0 .0 5 )。结论 糖尿病知识强化教育 ,能更有效提高患者自控水平 ,增强对糖尿病的认识 ,改善糖、脂代谢水平。同时能有效改善精神和心理障碍 ,提高患者生命质量。
Objective To evaluate the effects of the intensive diabetes education on diabetes control.Methods 147 diabetics (type 1 and type 2) were randomly allocated into two groups:Group A(intensive education group ) and Group B( conventional education group).Each patient from Group A was given personal intensive knowledge education after conventional knowledge education.The patients from Group B were only given conventional diabetes education.Investigations into the diabetic knowledge (DKN),symptom check list 90 (SCL 90),daily taken calories,numbers of exercise each week and of blood glucose,HbA1c,T Chl and TG monitoring each week were conducted before the education,three months and six months after education.The results were evaluated and compared before and after education within the group and between the two groups.Results The patients from Group A had obviously better self controlling abilities at the end of three months and six months education.Futhermore,the improvement of indexes such as DKN,HbA1c,TC,and TG in Groups A were better than those in Group B( P <0.05 or P <0.01).In the nine subgroups of SCL 90,the patients from Group A were clearly improved and better than those of the simultaneous period from Group B.( P <0.01 or P <0.05).Conclusion Intensive diabetes education will effectively enhance diabetes self controlling levels,enlarge their perceptions about diabetes and improve their glucose and fat metabolism.It can also effectively change the patients' spiritual states,thus improve the life quality of diabetes.
出处
《中国糖尿病杂志》
CAS
CSCD
2001年第1期36-39,共4页
Chinese Journal of Diabetes
