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目的评价社区糖尿病血糖控制不良患者10年强化教育实施的效果。方法将586例社区血糖控制不良的2型糖尿病患者随机分为对照组和观察组(各293例),两组均按常规方法予以降糖治疗和护理。观察组进行为期10年持续不断的强化教育与指导,对照组未做任何干预措施。比较两组患者强化教育前、后空腹血糖、餐后2h血糖、HbAlc的变化、并发症的发生率、卫生知识知晓率。结果两组患者空腹血糖、餐后2h血糖差异有统计学意义。结论通过强化教育,提高患者的自我管理水平,建立健康的生活模式,可促进血糖的良好控制,减少并发症的发生率。
Objective To evaluate the effectiveness of 10-year intensive education in patients with poorly controlled glycemic control in community settings. Methods 586 type 2 diabetic patients with poorly controlled glycemic control in the community were randomly divided into control group and observation group (293 cases each). Both groups were treated with glycemic control and nursing according to the routine method. Observation group for 10 years of continuous education and guidance, the control group did not make any interventions. The fasting blood glucose, postprandial blood glucose 2h, changes of HbAlc, incidence of complication and health knowledge were compared between the two groups before and after intensive education. Results The fasting blood glucose and postprandial blood glucose at 2h were significantly different between the two groups. Conclusions By strengthening education, improving patients’ self-management level and establishing a healthy life style, it can promote the good control of blood sugar and reduce the incidence of complications.