摘要
目的:探讨持续动态血糖监测(CGM)联合健康教练技术对改善2型糖尿病(T2DM)患者血糖控制及自我管理能力的协同作用,探索其在糖尿病管理中的创新应用价值。方法:纳入医院内分泌科住院的98例T2DM患者,采用随机数表法分为对照组(49例)和观察组(49例)。对照组实施常规护理干预,观察组在对照组基础上联合应用CGM监测联合健康教练技术,比较两组患者干预3个月后的空腹血糖(FBG)、餐后2 h血糖(2 hPBG)、糖化血红蛋白(HbA1c)、血糖达标时间(TIR)、胰岛素用量及低血糖发生率,并采用标准化量表评估其自我管理能力。结果:干预后,观察组患者空腹血糖、餐后2 h血糖、糖化血红蛋白以及自我管理行为中的饮食、运动、遵医嘱用药、血糖监测和足部管理得分均优于对照组(P<0.05)。观察组患者血糖达标天数多于对照组(P<0.05),血糖达标时胰岛素使用剂量、低血糖发生次数均低于对照组(P<0.05)。结论:CGM联合健康教练技术可显著提升患者自我管理能力,有效改善T2DM患者血糖水平,减少胰岛素用量,降低低血糖风险,延长血糖达标时间。
Objective:To investigate the synergistic effects of continuous glucose monitoring(CGM)combined with health coaching in improving glycemic control and self-management capabilities in patients with type 2 diabetes mellitus(T2DM),and to explore its innovative application value in diabetes management.Methods:A randomized controlled trial was conducted,enrolling 98 hospitalized T2DM patients from the Department of Endocrinology at the hospital.Participants were divided into a control group(n=49)receiving standard care and an intervention group(n=49)receiving CGM combined with health coaching on the basis of standard care.Glycemic outcomes,including fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPBG),glycated hemoglobin(HbA1c),time in range(TIR),insulin dosage,and hypoglycemia incidence,were compared between the two groups after 3 months of intervention.Self-management ability was assessed using a standardized scale.Results:Post-intervention,the intervention group demonstrated significantly better outcomes:FBG,2 hPBG,and HbA1c compared to the control group(P<0.05).Self-management scores in diet,exercise,medication adherence,blood glucose monitoring,and foot care were also significantly higher(P<O.05).Additionally,the intervention group achieved shorter time to glycemic target,lower insulin dosage,and fewer hypoglycemic episodes(P<0.05).Conclusion:The integration of CGM with health coaching techniques effectively improves glycemic control,reduces insulin requirements and hypoglycemia risk,shortens time to glycemic target,and significantly enhances self-management capacity in T2DM patients.
作者
程梅
赵进东
窦丽娜
马梦楠
CHENG Mei;ZHAO Jin-dong;DOU Li-na;MA Meng-nan(The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,Anhui)
出处
《安徽医专学报》
2026年第1期125-128,共4页
Journal of Anhui Medical College
基金
2023年中央财政转移支付地方项目(国中医药科技中药便函[2023]24号)
国家自然科学基金项目(编号:82174153)
国家重点研发计划课题(编号:2018YFC1704202)
合肥综合性国家科学中心大健康研究院新安医学与中医药现代化研究所“揭榜挂帅”项目(编号:2023CXMMTCM024)
安徽中医药大学校级科学研究项目(编号:2020yfyzc66)。
关键词
持续动态血糖监测
健康教练技术
2型糖尿病
自我管理能力
continuous dynamic blood glucose monitoring
health coaching techniques
type 2 diabetes mellitus
self-management skills
