頁籤選單縮合
題 名 | 個人化血糖監測及「PRIDE」教育方案對第2型糖尿病病患照護之成效=Efficacy of Individualized Monitoring of Blood Glucose and PRIDE Education Protocol on Glycemic Control in Patients with Type 2 Diabetes Mellitus |
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作 者 | 陳孟敏; 蕭若妤; 黃佳進; 戴研光; 簡誌銘; 黃秋玲; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 9:2 2013.12[民102.12] |
頁 次 | 頁98-108 |
分類號 | 419.73 |
關鍵詞 | 第2型糖尿病; 自我血糖監測; 配對血糖測試; PRIDE教育方案; Type 2 diabetes mellitus; Self-monitoring of blood glucose; Paired testing; PRIDE educational protocol; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:評估第二型糖尿病病患執行個人化血糖測試方案輔以「PRIDE」教育計畫,對空腹血糖、飯後血糖、及糖化血色素之成效。方法:本研究採準實驗性(Quasi-experimental Design)的研究設計,於2013年3月至8月,以高雄市某區域教學醫院新陳代謝科門診的第2型糖尿病病患為對象,實驗組病患參與「個人化血糖測試方案」,執行餐前餐後配對測試,每月一次共計四次團體「PRIDE」訓練課程,對照組則維持常規監測方式。結果:實驗組在早餐前、晚餐前及晚餐後平均血糖前後達統計上顯著降低(p<0.001,p=0.03,p=0.001),其餘時間點雖有降低但並未達顯著差異。實驗組衛教前後的糖化血色素由7.68±1.55%降低至7.23±1.04%,具統計上顯著降低(p=0.003),實驗組與對照組衛教前後組間也達統計上顯著差異(p<0.001),另外,實驗組A1C<7.0%的比例由36%提升至52%,A1C>9.0%的比例也由8%降低至2%。結論:本研究顯示此教育計畫能幫助病患改善血糖的控制。 |
英文摘要 | Objective: To assess the efficacy of individualized blood glucose monitoring program in combination with PRIDE Education Protocol on fasting glucose, postprandial glucose and hemoglobin A1c (A1C) values in patients with type 2 diabetes mellitus.Methods: Between March and August in 2013, we performed a quasi-experimental study to enroll patients with type 2 diabetes from the diabetes clinic in a regional teaching hospital in Kaohsiung. Patients in the experimental group participated an individualized blood glucose monitoring program, performed pre- and post-meal paired glycemic testing and received PRIDE training protocol monthly for 4 times. Patients in the control group kept on usual glucose monitoring.Results: In the experimental group, there were significant reductions in pre-breakfast, pre-dinner and post-dinner glucose levels compared to baselines (p<0.001, p=0.03, p=0.001), while the decreases of glucose levels in other time points compared to baselines were not significant. The A1C decreased significantly from 7.68±1.55% at baseline to 7.23±1.04% at 24th week in the experimental group (p = 0.003). Compared to control group, the experimental group showed a greater A1C reduction (p<0.001). Furthermore, the proportion of patients in the experimental group achieving A1C < 7% elevated from 36% at baseline to 52% at 24th week, while individuals with A1C >9% decreased from 8% to 2%.Conclusions: Our study demonstrates that this education program could help diabetic patients to improve blood glucose control. |
本系統中英文摘要資訊取自各篇刊載內容。