| 张艳,高珊,吴清亚,淡蓉,石李艳,张媛媛.目标管理对2型糖尿病患者自我血糖监测频率及代谢指标的影响[J].上海护理,2017,17(1): |
| 目标管理对2型糖尿病患者自我血糖监测频率及代谢指标的影响 |
| Effect of Target Management on the Frequency and Metabolic Indexes of Self-Monitoring of Blood Glucose in Patients with Type 2 Diabetes mellitus |
| DOI： |
| 中文关键词: 糖尿病 目标管理 自我血糖监测 代谢指标 |
| 英文关键词:Diabetes Mellitus Target Management Self-Monitoring of Blood Glucose Metabolic Indexes |
| 基金项目:2013年国家临床重点专科建设项目---专科护理基金资助 |
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| 中文摘要: |
| 目的：探讨目标管理对2型糖尿病患者自我血糖监测频率及代谢指标的影响。方法：将2014年11月-2015年1月在我院内分泌科就诊的2型糖尿病并血脂、血压异常患者192例,随机分为观察组和对照组,各96例。对照组采用常规诊疗方法及疾病管理；观察组在此基础上加入目标管理,建立患者目标管理档案,制定饮食、运动计划,血糖监测方案、频率及血糖、HbA1c、血脂、血压、体重等控制目标。观察两组患者血糖监测频率、低血糖发生率及血糖、HbA1c、血脂、血压、体重等达标情况。结果：观察组患者干预后血糖监测频率及血糖、HbA1c、血脂、血压、体重等指标达标情况均优于对照组(P＜0.05),低血糖发生率低于对照组(P＜0.05)。结论：目标管理可有效 提高2型糖尿病患者自我血糖监测频率,降低低血糖发生率；有效控制各项指标达标,显著提高糖尿病治疗有效性及安全性。 |
| 英文摘要: |
| Objective To explore the effect of target management on the frequency of the self-monitoring of blood glucose and metabolic indexes in patients with type 2 diabetes mellitus. Methods 192 patients with type 2 diabetes mellitus, combined with dyslipidemia and dysarteriotony in our hospital from 2014.11 to 2015.1 were randomly divided into observation group and control group, 96 cases in each group. The control group was treated with routine treatment and disease management; observation group was treated with target management, established a target management file, drew a plan of diets, exercises, blood glucose monitoring scheme, frequency of blood glucose monitoring, and drew up control objectives of blood glucose, HbA1c, blood lipid, blood pressure and body weight. Observed the blood glucose monitoring frequency, incidence of hypoglycemia and blood glucose, HbA1c, blood lipids, blood pressure, weight, etc in the two groups. Results Observation group were better than the control group in frequency of self-monitoring of blood glucose and various indexes, such as glucose, HbA1c, blood lipid, blood pressure, weight and other indicators (P<0.05), hypoglycemia was lower than control group (P<0.05) Conclusion Target management can effectively improve the frequency of self-monitoring of blood glucose in patients with type 2 diabetes and reduce the incidence of hypoglycemia; effectively control of compliance indicators, significantly improving the diabetic treatment effectiveness and safety. |
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