首页|健康教练技术在T2DM患者出院后精细化管理中的应用

健康教练技术在T2DM患者出院后精细化管理中的应用

扫码查看
目的 探讨以健康教练技术为指导的精细化管理方案对2型糖尿病(T2DM)患者出院后管理效果的影响.方法 选择2021年11月至2022年3月T2DM患者200例,随机分为对照组和观察组,各100例.对照组采取常规延续性糖尿病管理,观察组采取以健康教练技术为指导的院后精细化糖尿病管理.自患者出院起持续干预3个月后,观察并比较两组患者糖代谢指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)、自我管理能力和生存质量情况.结果 观察组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,且差异均有统计学意义(P<0.05);观察组饮食、运动、血糖监测、足部护理、药物治疗评价得分均高于对照组,差异均有统计学意义(P<0.05);患者疾病自我管理能力评分明显高于对照组,差异有统计学意义(P<0.05);观察组生理功能、心理/精神、社会关系、治疗效果及总评分均低于对照组,且差异均有统计学意义(P<0.05).结论 以健康教练技术为指导的精细化管理方案,能显著提升T2DM患者的出院后管理效果.
Objective To investigate the effect of a detailed management scheme guided by health coaching technique on metabolic indicators of post-discharge patients with type 2 diabetes.Methods From November 2021 to March 2022,200 diabetic patients admitted were randomly divided into the control and intervention groups,with 100 patients in each group.The control group was adopted with routine continuation diabetes management,and the intervention group was adopted with detailed management guided by health coach techniques.Before and after the 3 months follow-up,metabolic indicators,self-management and quality of life were observed and compared between the two groups.Results The intervention group had significant positive effectiveness in fasting glucose,2 h postprandial blood glucose,glycosylated hemoglobin A1c(P<0.05).The intervention group was observed higher self-management scores,including diet,activities,blood sugar monitoring,foot care,and drug treatment evaluation(P<0.05).Moreover,the intervention group reported positive effects on quality of life compared with the control group(P<0.05).Conclusion The detailed management scheme guided by health coaching technique could significantly improve the post-discharge management outcomes of type 2 diabetic patients.

Health coaching technologyType 2 diabetesDetailed management

章汝、章小华、葛孟华、陈烨君、王爱芳

展开 >

浙江省绍兴第二医院医共体总院

健康教练技术 2型糖尿病 精细化管理

浙江省医共体建设发展齐鲁研究项目

2023ZHA-QL216

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(6)
  • 2