陈玲 郑晓佳 林小燕 田江宣

[关键词] 医联体联动模式;糖尿病;健康教育;糖化血红蛋白;尿微量白蛋白

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）29-0176-04

Effect of diabetes health education on glycosylated hemoglobin and urinary microalbumin in patients with diabetes under the linkage mode of medical associations

CHEN Ling   ZHENG Xiaojia   LIN Xiaoyan   TIAN Jiangxuan

Department of Endocrinology， Lishui People's Hospital in Zhejiang Province， Lishui   323000， China

[Abstract] Objective To explore the effect of diabetes health education on glycosylated hemoglobin and urinary microalbumin in patients with diabetes under the linkage mode of medical associations. Methods A total of 80 patients with diabetes treated in our hospital from August 2018 to August 2019 were selected as research objects and they were randomly divided into the study group （n=40） and the control group （n=40）. The control group was treated with routine nursing， and the study group was treated with diabetes health education under the linkage mode of medical associations. The glycosylated hemoglobin （HbAlc） and urinary microalbumin （urinary MA），clinical therapeutic effect and incidence of adverse reactions （ARs） were compared between the two groups. Results After nursing care，the HbAlc and urinary MA in the study group were（6.2±1.1）%， （7.2±0.7） μg/mL， which were significantly lower than those of （7.4± 1.3）%， （18.3±1.3） μg/mL in the control group （P<0.05）. The effective rate in the study group was 92.5%，which was significantly higher than that of 70.0% in the control group（P<0.05）. The total incidence of ARs in the study group was 7.5%，which was significantly lower than that of 22.5% in the control group （P<0.05）. Conclusion Diabetes health education under the mode of medical associations can improve the clinical therapeutic effects，and reduce the incidence of ARs of patients with diabetes The levels of HbAlc and urinary MA are significantly decreased as well. Therefore，diabetes health education under the mode of medical associations can be popularized and applied.

[Key words] The linkage mode of medical associations; Diabetes mellitus; Health education; Glycosylated hemoglobin; Urinary microalbuminuria

糖尿病屬于临床上发生率较高的慢性疾病类型之一，其主要临床特征为血糖水平异常升高，还会伴随出现组织器官及系统损伤，对患者的生命健康造成严重影响。当前临床多使用药物方式对患者进行治疗，但伴随着患者病情的逐渐发展，胰岛β细胞功能受损更加严重，进而形成胰岛素抵抗，并增加患者的体重指数[1]。因此，普通降糖药物对血糖水平的控制已起不到理想效果。而相关研究显示，在医联体联动模式下进行糖尿病健康教育，能进一步促进患者血糖及血脂水平改善，还能有效调节患者体重指数，有利于进一步减少低血糖等不良症状的发生，使患者尽快恢复。本研究探讨医联体联动模式下糖尿病健康教育对糖尿病患者糖化血红蛋白、尿微量白蛋白水平的影响，现报道如下。

1资料与方法

1.1一般资料

选取2018年8月至2019年8月我院收治的糖尿病患者80例，将其随机分为对照组和研究组，每组各40例。纳入标准：①患者及家属对本研究均知情且同意;②患者近两个月内血压水平处于稳定状态;③患者精神状况不存在异常且能主动配合治疗;④患者病情完全符合糖尿病的相关诊断标准。排除标准：①伴有严重的糖尿病急性并发症者;②伴有严重的感染及凝血机制异常现象者;③伴有严重的心、肝、肾等疾病者;④对本研究所用药物存在过敏现象者。……