强化健康教育对降低风湿性疾病患者类固醇糖尿病发病率的分析
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摘要
目的探讨对使用类固醇的风湿性疾病患者进行健康教育降低类固醇糖尿病的发病率。方法选择58例用糖皮质激素进行药物治疗的风湿性疾病作为研究对象,分为对照组和观察组,各29例,对照组给予常规护理,观察组在此基础上对患者进行强化健康教育管理。两组均由随访3个月,对比两组患者干预后3个月的血糖值及类固醇糖尿病发病率。结果干预后观察组血糖低于对照组,差异有统计学意义(P<0.05),诊断为类固醇糖尿病的患者例数和比例低于观察组,差异有统计学意义(P<0.05)。结论对使用糖皮质激素的风湿性疾病患者实施强化健康教育,能使血糖水平降低,减少糖尿病发生率。
Objective To explore health education for patients with rheumatic diseases using steroids to reduce the incidence of steroid-induced diabetes mellitus. Methods Fifty-eight patients with rheumatic diseases treated with glucocorticoids were divided into control group and observation group, 29 cases in each group. The control group was given routine nursing, and the observation group was strengthened health education management. The two groups were followed up for 3 months. The blood sugar and the incidence of steroid diabetes were compared between the two groups at 3 months after intervention. Results After intervention, the blood sugar in the observation group was lower than that in the control group, with statistical significance(P<0.05). The number and proportion of patients diagnosed as steroid diabetes were lower than that in the observation group, with statistical significance(P< 0.05).Conclusion Strengthening health education for patients with rheumatic diseases who use glucocorticoids can reduce blood sugar level and the incidence of diabetes mellitus.
Objective To explore health education for patients with rheumatic diseases using steroids to reduce the incidence of steroid-induced diabetes mellitus. Methods Fifty-eight patients with rheumatic diseases treated with glucocorticoids were divided into control group and observation group, 29 cases in each group. The control group was given routine nursing, and the observation group was strengthened health education management. The two groups were followed up for 3 months. The blood sugar and the incidence of steroid diabetes were compared between the two groups at 3 months after intervention. Results After intervention, the blood sugar in the observation group was lower than that in the control group, with statistical significance(P<0.05). The number and proportion of patients diagnosed as steroid diabetes were lower than that in the observation group, with statistical significance(P< 0.05).Conclusion Strengthening health education for patients with rheumatic diseases who use glucocorticoids can reduce blood sugar level and the incidence of diabetes mellitus.
引文
[1]HECTOR T P,DANIA Q F,RENE R G,et al.Steroid hyperglycemia:Prevalence,early detection and therapeutic recommendations:A narrative review[J].World J Diabetes,2015,6(8):1073-1081.
[2]INZUCCHI SE:Diagnosis of diabetes.N Engl J Med2012,367:542-50.
[3]崔轶男,孟朝琳,王媛媛,等.糖尿病专科护士主导的住院糖尿病患者系统化健康教育[J].护理学杂志,2015,30(8):89-91.
[4]周英姿,陈莉,解洪梅.1例肾病综合征合并类固醇性糖尿病的护理[J].中国实用医药,2008,3(2):143-144.
[5]邹伏英,王友莲.类固醇糖尿病的诊断与治疗进展[J].中华风湿病学杂志,2013,17(8):564-566.
[6]任启芳,史菲菲,胡艳红,等.健康教育对糖尿病伴焦虑抑郁患者心理状态的影响[J].中华全科医学,2013,11(7):1092-1093.
[7]PANTHAKALAM S,BHATNAGAR D,KLIMIUK P.The prevalence and management of hyperglycaemia in patients with rheumatoid arthritis on corticosteroid therapy[J].Scott Med J,2004,49:139-141.
[8]SIMMONS L,MOLYNEAUX L,YUE DK.CHUA EL:Steroid-induced diabetes:is it just unmasking of type 2diabetes?[J].ISRN Endocrinol,2012,2012:910905.
[2]INZUCCHI SE:Diagnosis of diabetes.N Engl J Med2012,367:542-50.
[3]崔轶男,孟朝琳,王媛媛,等.糖尿病专科护士主导的住院糖尿病患者系统化健康教育[J].护理学杂志,2015,30(8):89-91.
[4]周英姿,陈莉,解洪梅.1例肾病综合征合并类固醇性糖尿病的护理[J].中国实用医药,2008,3(2):143-144.
[5]邹伏英,王友莲.类固醇糖尿病的诊断与治疗进展[J].中华风湿病学杂志,2013,17(8):564-566.
[6]任启芳,史菲菲,胡艳红,等.健康教育对糖尿病伴焦虑抑郁患者心理状态的影响[J].中华全科医学,2013,11(7):1092-1093.
[7]PANTHAKALAM S,BHATNAGAR D,KLIMIUK P.The prevalence and management of hyperglycaemia in patients with rheumatoid arthritis on corticosteroid therapy[J].Scott Med J,2004,49:139-141.
[8]SIMMONS L,MOLYNEAUX L,YUE DK.CHUA EL:Steroid-induced diabetes:is it just unmasking of type 2diabetes?[J].ISRN Endocrinol,2012,2012:910905.