目的：探讨社区健康教育对居家使用胰岛素治疗的2型糖尿病（T2 diabetic mellitus， T2DM）患者的临床意义。方法对120例居家使用胰岛素治疗的T2DM患者进行专题讲座、血糖监测及专门辅导等规范化健康教育12个月，比较健康教育前后糖尿病相关知识知晓情况、医嘱依从性、空腹血糖等相关指标。结果健康教育12个月后糖尿病相关知识的知晓率比教育前明显提高（P＜0．01）；医嘱依从性从教育前的64．67％提高到教育后的92．67％，差异极显著（P＜0．01）；健康教育后的FPG、2h PG、HbA1c接近正常水平，与健康教育前比较差异极显著（P＜0．01）。结论社区健康教育对居家使用胰岛素治疗的2型糖尿病患者可促进血糖控制，延缓并发症，提高生活质量。%Objective To investigate the clinical significance of community health education in home -based treatment of type 2 diabetes mellitus ( T2DM) with insulin.Method A education program was planned for 120 patients with type 2 diabetes mellitus , which included seminars and films on treating the disease with insulin at home and tutorials about how to use insulin pen and blood glucose monitor correctly .Related indicators before and after health education of diabetes mellitus, patients’ knowledge of diabetes and insulin , actions on doctor's advice, and fasting blood sugar level were recorded and compared .Findings Poor awareness of diabetes mellitus was found of patients before health education (54. 79%), which became significantly higher after 12 months of health education (84.59%).The difference was significant (P<0.01).Before and after health education, patients’ actions on doctor's advice rose from 64.67% to 92.67%. Fasting plasma glucose (FPG), 2h postprandial blood glucose (2h PG) and glycosylated hemoglobin(HbA1c) were close to normal level after health education .There were significant differences before and after health education .Conclusion Community health education for patients with type 2 diabetes mellitus treated at home with insulin can improve blood sugar control, delay secondary diseases of diabetes and enhance the quality of life .
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