杨丽萍 周敏 刘思

[摘要] 目的 评价并发症体验式教育对2型糖尿病患者血糖水平和自我管理能力的临床效果。 方法 选取2016年2～10月本院收治的60例2型糖尿病患者为研究对象，随机分为研究组和对照组，各30例。研究组患者实施并发症体验式教育干预方案，对照组实施常规教育干预方案。出院1、3、6个月后，比较两组患者空腹血糖（FBG）、糖化血红蛋白（HbA1c）及自护能力，并采用糖尿病特异性生存质量量表（A-DQOL）比较两组患者干预前后的生活质量。 结果 研究组患者干预后1、3、6个月的FBG和HbA1c水平与干预前相比均显著降低（P<0.05）；对照组干预6个月的FBG和HbA1c水平与干预前相比均显著降低（P<0.05）。干预后3、6个月后，研究组患者的FBG和HbA1c水平与对照组患者相比显著降低（P<0.05）。 结论 并发症体验式教育可有效控制2型糖尿病患者血糖水平，延缓其并发症的发生，提高患者的生活质量。

[关键词] 并发症体验；2型糖尿病；血糖水平；自我管理能力

[中图分类号] R473；R587 [文献标识码] B [文章编号] 1673-9701（2018）02-0149-04

[Abstract] Objective To evaluate the clinical effect of experience-based education of complications on blood glucose level and self-management ability in the patients with type 2 diabetes mellitus. Methods 60 patients with type 2 diabetes mellitus who were admitted to our hospital from February to October 2016 were selected as the study subjects， and were randomly divided into study group and control group， with 30 patients in each group. The study group was given intervention program of experience-based education of complications， and the control group was given intervention program of routine education. The levels of fasting blood glucose（FBG）， glycosylated hemoglobin（HbA1c） and self-care ability were compared between the two groups 1， 3 and 6 months after discharge， and A-DQOL was used to compare the quality of life between the two groups before and after the intervention. Results The levels of FBG and HbA1c in the study group 1， 3 and 6 months after intervention were significantly lower than those before intervention（P<0.05）； the levels of FBG and HbA1c in the control group at 6 months after intervention were significantly lower than those before intervention（P<0.05）. At 3 months and 6 months after intervention， the levels of FBG and HbA1c in the study group were significantly lower than those in the control group（P<0.05）. Conclusion The experience-based education of complications can effectively control the blood glucose level of patients with type 2 diabetes mellitus， delay the occurrence of complications and improve the quality of life of patients.

[Key words] Experience of complications； Type 2 diabetes mellitus； Blood glucose level； Self-management ability

糖尿病是中老年人群常見的一种内分泌代谢障碍性疾病，病程较长，且在中后期极易引起心血管损伤、视网膜病变、糖尿病脑病等多种并发症，严重影响中老年人的生活质量[1]。目前大多数处于糖尿病高危期或糖尿病前期的患者对糖尿病及其引起的并发症没有足够的认知，未能深刻认识糖尿病的严重性，不注意生活方式的改变，拒绝服用药物与治疗[2，3]。因此，迫切需要有效的健康教育方式改善其认知现状。本研究选取2016年2～10月本院治疗的2型糖尿病患者为研究对象，旨在研究并评价并发症体验式教育对患者血糖水平和自我管理能力的临床效果。

1 资料与方法

1.1 一般资料

选取2016年2～10月本院治疗并符合入选标准的2型糖尿病患者为研究对象，共60例，男33例，女27例，年龄30～58岁，平均（46.74±8.03）岁。……