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健康教育对糖尿病患者糖代谢的影响研究

The effect of health education on glucose metabilism in patients with type Ⅱ diabetes mellitus

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【作者】 陈冠民冯运姣陈华

【Author】 CHEN Guanmin, FENG Yunjiao, CHEN Hua, Dept. of Medical Statistics, Hubei Medical University, Wuhan 430071, China [

【机构】 湖北医科大学医学统计教研室湖北省预防医学会

【摘要】 目的 探讨健康教育对糖尿病患者糖代谢的影响。方法  2 0 4例糖尿病患者随机分为干预组和对照组 ,干预组给予常规治疗和健康教育 ,对照组仅给予常规治疗。用SCL 90测量病人的心理卫生状况 ,并检查其空腹血糖、餐后 2h血糖和糖化血红蛋白。结果 干预组病人干预前后SCL 90中强迫、抑郁、焦虑、恐怖、偏执、精神病因子有所下降。两组病人空腹血糖、餐后两小时血糖和糖化血红蛋白均有下降 ,但干预组较对照组下降明显。结论 健康教育可缓解糖尿病病人的心理压力 ,提高其治疗效果。

【Abstract】 Objective To explore the effect of health education on glucose metabolism in patients with diabetes mellitus. Method\ 204 cases with type Ⅱ diabetes mellitus allocated to intervention group and control group randomly, patients in control group only treated with conventional therapy, and patients in intervention group received health education in addition to conventional therapy. The patients mental status was measured with Symptom Checklist\|90(SCL\|90), the fasting and postprandial blood glucose concentration and glycosylated hemoglobilin(HbAlc) were tested before and after intervention. Results\ The patients SCL\|90 factors of intervention group such as, obsessive\|compulsive,depression, anxiety, terror, paranoid ideation, psychosis were decreased after intervention. All subjects demonstrated significant improvement in fasting blood glucose, postprandial two hour blood glucose and Hbalc levels, but extent of improvement was significantly greater in intervention group than in control group. Conclusion Health education can relax mental tension, and improve the effect of conventional therapy of patients with diabetes mellitus. [

【基金】 湖北省自然科学研究基金!(编号 98J0 89);湖北省重大科研项目!(编号 982 915 0 8)
  • 【文献出处】 中国自然医学杂志 ,CHINESE JOURNAL OF NATURAL MEDICINE , 编辑部邮箱 ,2000年02期
  • 【分类号】R587.1
  • 【被引频次】3
  • 【下载频次】40
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