【摘要】：目的探討個案管理對門診新診斷T2DM并接受短期胰島素強化治療患者的治療依從性、安全性及血糖代謝的干預(yù)效果。方法選取門診接受短期胰島素強化治療的新診斷T2DM患者100例,隨機分為干預(yù)組(n=52)與對照(Con)組(n=48)。干預(yù)組由醫(yī)生和個案管理師組成的團隊按照胰島素注射治療個案管理標(biāo)準(zhǔn)流程對患者進行干預(yù),Con組接受門診常規(guī)胰島素注射指導(dǎo),比較干預(yù)前、干預(yù)3個月后兩組患者胰島素治療態(tài)度以及胰島素治療依從性、低血糖發(fā)生率、FBG及HbA_1c。結(jié)果干預(yù)后,干預(yù)組胰島素治療態(tài)度總分及各維度得分均優(yōu)于Con組[(76.30±4.06)vs(60.53±3.18)分,P0.01];干預(yù)組胰島素治療依從性優(yōu)于Con組(82.7%vs 64.6%,P0.05);干預(yù)組低血糖發(fā)生率低于Con組(19.2%vs 31.3%),但差異無統(tǒng)計學(xué)意義(P0.05);干預(yù)組FBG及HbA_1c均低于Con組[(6.79±1.41)vs(7.51±1.15)mmo/L,(6.62±0.69)%vs(7.15±0.75)%,P0.05]。結(jié)論個案管理可有效改善門診新診斷T2DM短期胰島素強化治療患者胰島素治療的態(tài)度,提高治療依從性,從而優(yōu)化血糖控制效果。
[Abstract]:Objective to investigate the therapeutic compliance, safety and blood glucose metabolism of outpatients with newly diagnosed T2DM and intensive short-term insulin therapy by case management. Methods 100 newly diagnosed T2DM patients who received short-term intensive insulin therapy were randomly divided into intervention group (n = 52) and control (Con) group (n = 48). A team of doctors and case managers in the intervention group treated patients with insulin injection according to the standard procedure of case management for insulin injection therapy. The Con group received routine insulin injection instruction in outpatient clinics. After 3 months of intervention, the two groups had insulin treatment attitude, insulin compliance, hypoglycemia rate, FBG and HBA _ (1) C. Results after intervention, The total score and dimension score of insulin treatment attitude in the intervention group were better than that in the Con group (76.30 鹵4.06) vs (60.53 鹵3.18), the insulin compliance in the intervention group was better than that in the Con group (P0.05), the incidence of hypoglycemia in the intervention group was lower than that in the Con group (31.3%), but the difference was not significant (P0.05). FBG and HbA_1c in group A were lower than those in group Con [(6.79 鹵1.41) vs (7.51 鹵1.15) mmol / L, (6.62 鹵0.69) vs (7.15 鹵0.75) P 0.05]. Conclusion case management can effectively improve the attitude and compliance of the patients with short-term intensive insulin therapy for newly diagnosed T2DM in outpatient clinic, so as to optimize the effect of blood glucose control.
【作者單位】： 清華大學(xué)附屬北京清華長庚醫(yī)院清華大學(xué)臨床醫(yī)學(xué)院內(nèi)分泌與代謝科;
【分類號】：R587.1
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本文編號：2142210