个性化日记本在桂西地区2型糖尿病患者自我管理中的应用(1)
【摘要】目的探讨个性化日记本在2型糖尿病患者自我管理中的应用效果。
方法选取2017年1月至3月期间96例2型糖尿病患者作为改善前组；选取2017年4月至5月期间的96例2型糖尿病患者作为改善后组。两组患者均进行系统的健康教育和出院后的跟踪随访，改善后组患者在此基础上增加个性化日记本，详细记录生活情况。出院后进行电话跟踪随访，3个月后门诊复查，对比两组患者的血脂达标率、糖化血红蛋白达标率、低血糖发生率。
结果改善后组的血脂和糖化血红蛋白达标率高于对照组，低血糖发生率明显低于改善前组，差异有统计学意义(P<0.01)。
结论规范使用个性化日记本详细记录日常生活情况，能有效提高患者的血脂、糖化血红蛋白达标率，降低患者的低血糖发生率，值得临床推广应用。
【关键词】个性化日记本；2型糖尿病；自我管理
中图分类号：R587.1047 文献标识码：ADOI：10.3969/j.issn.10031383.2017.05.009
Application of personalized diary in selfmanagement of patients with type 2 diabetes mellitus in western Guangxi
[HJ2][HJ]
LI Yijuan，LUO Guiqing▲，MENG Lianxin，LAO Caiyan，OU Yuna，HUANG Jiansheng，HUANG Xianlong，WEI Lantian
(Affiliated Hospital of Youjiang Medical University for Nationalities，Baise 533000，China)
[HJ2][HJ]
【Abstract】ObjectiveTo discuss the effect of personalized diary on improving selfmanagement in patients with type 2 diabetes mellitus.
Methods96 patients with type 2 diabetes mellitus between January and March，2017 were selected as improvement group，and 96 patients with type 2 diabetes between April and May，2017 were included in modified group.Both groups were given systematic heath education and followedup visit after discharge，based on which the modified group were added personalized diary to record life in detail.The patients were followed up by telephone after discharge，and were given outpatient review after 3 months.Blood lipid compliance rate，glycosylated hemoglobin compliance rate and hypoglycemia incidence rate were compared between the two groups.
ResultsThe blood lipid compliance rate and glycosylated hemoglobin compliance rate of the modified group were higher than those of the control group，and the hypoglycemia incidence rate was lower than that of the control group，difference was statistically significant(P<0.01).
ConclusionStandardized use of personalized diary and detailed records of daily life can effectively improve the patient’s blood lipid compliance rate and glycosylated hemoglobin compliance rate，reduce the incidence rate of hypoglycemia.Thus，it is worthy of clinical application.
【Key words】personalized diary；type 2 diabetes mellitus；selfmanagement
糖尿病治疗包括教育、饮食、运动、药物、自我监测，目前，自我管理已成为热门话题。自我管理是糖尿病患者在医疗卫生专业人员的帮助下，承担一些预防性和治疗性的卫生保健任务。糖尿病等慢性病自我管理方法起源于行为心理治疗领域，由心理学家在实践中发现患者在改变行为、促进健康等方面的巨大潜力而逐步总结形成的[1～3]。糖尿病作为一种生活方式疾病，由患者本人建立有效的自我管理行为已被广泛证明是糖尿病行为干预的最佳模式之一[4]。要实现科学自我管理必须对患者进行健康教育、培训、普及糖尿病基础知识。本研究目的是为了寻找患者对各种降糖方案的敏感性和个体差异，患者出院后自我监测并使用个性化日记本详细记录日常生活情况，使医生在为患者复诊时，可根据患者日记本的记录信息对降糖方案及时调整。, http://www.100md.com(李亿娟 罗桂情蒙连新)
方法选取2017年1月至3月期间96例2型糖尿病患者作为改善前组；选取2017年4月至5月期间的96例2型糖尿病患者作为改善后组。两组患者均进行系统的健康教育和出院后的跟踪随访，改善后组患者在此基础上增加个性化日记本，详细记录生活情况。出院后进行电话跟踪随访，3个月后门诊复查，对比两组患者的血脂达标率、糖化血红蛋白达标率、低血糖发生率。
结果改善后组的血脂和糖化血红蛋白达标率高于对照组，低血糖发生率明显低于改善前组，差异有统计学意义(P<0.01)。
结论规范使用个性化日记本详细记录日常生活情况，能有效提高患者的血脂、糖化血红蛋白达标率，降低患者的低血糖发生率，值得临床推广应用。
【关键词】个性化日记本；2型糖尿病；自我管理
中图分类号：R587.1047 文献标识码：ADOI：10.3969/j.issn.10031383.2017.05.009
Application of personalized diary in selfmanagement of patients with type 2 diabetes mellitus in western Guangxi
[HJ2][HJ]
LI Yijuan，LUO Guiqing▲，MENG Lianxin，LAO Caiyan，OU Yuna，HUANG Jiansheng，HUANG Xianlong，WEI Lantian
(Affiliated Hospital of Youjiang Medical University for Nationalities，Baise 533000，China)
[HJ2][HJ]
【Abstract】ObjectiveTo discuss the effect of personalized diary on improving selfmanagement in patients with type 2 diabetes mellitus.
Methods96 patients with type 2 diabetes mellitus between January and March，2017 were selected as improvement group，and 96 patients with type 2 diabetes between April and May，2017 were included in modified group.Both groups were given systematic heath education and followedup visit after discharge，based on which the modified group were added personalized diary to record life in detail.The patients were followed up by telephone after discharge，and were given outpatient review after 3 months.Blood lipid compliance rate，glycosylated hemoglobin compliance rate and hypoglycemia incidence rate were compared between the two groups.
ResultsThe blood lipid compliance rate and glycosylated hemoglobin compliance rate of the modified group were higher than those of the control group，and the hypoglycemia incidence rate was lower than that of the control group，difference was statistically significant(P<0.01).
ConclusionStandardized use of personalized diary and detailed records of daily life can effectively improve the patient’s blood lipid compliance rate and glycosylated hemoglobin compliance rate，reduce the incidence rate of hypoglycemia.Thus，it is worthy of clinical application.
【Key words】personalized diary；type 2 diabetes mellitus；selfmanagement
糖尿病治疗包括教育、饮食、运动、药物、自我监测，目前，自我管理已成为热门话题。自我管理是糖尿病患者在医疗卫生专业人员的帮助下，承担一些预防性和治疗性的卫生保健任务。糖尿病等慢性病自我管理方法起源于行为心理治疗领域，由心理学家在实践中发现患者在改变行为、促进健康等方面的巨大潜力而逐步总结形成的[1～3]。糖尿病作为一种生活方式疾病，由患者本人建立有效的自我管理行为已被广泛证明是糖尿病行为干预的最佳模式之一[4]。要实现科学自我管理必须对患者进行健康教育、培训、普及糖尿病基础知识。本研究目的是为了寻找患者对各种降糖方案的敏感性和个体差异，患者出院后自我监测并使用个性化日记本详细记录日常生活情况，使医生在为患者复诊时，可根据患者日记本的记录信息对降糖方案及时调整。, http://www.100md.com(李亿娟 罗桂情蒙连新)