The Application and Efficacy of Evidence-Based in Health Guidance in Type 2 Diabetic patients
Author(s): CAI Shumin, PAN Guiqiong, TAN Lijun, GUO Xiujie, ZHOU Jingwen
Pages: 107-109,110
Year: 2015 Issue: 2
Journal: Haerbin Medical Journal
Keyword: Evidence-based thinking; Type 2 diabetes; Health guidance; Efficacy;
Abstract: Objective Analysis the application of evidence-based in health guidance in type 2 diabetic patients,and evaluate it,s efficacy. Methods R140 patients with type 2 diabetes from Qingyuan City People′s Hospital were randomly divided into observa-tion group and control group. each group contained 70 patients. the control group treated with routine care and guidance. and the obser-vatiom were used evidence-based to guide health. according to evidence-based, ask questions, evidence-based care purposes and plans to guide the implementation of evidence-based health care steps,the related indicators of blood sugar, readmission rates and complications were compared. Results The fasting plasma (7. 8 ± 1. 8 mmol/L vs. 8. 9 ± 2. 2 mmol / L),the glucose blood glucose after 2 h postprandial (10. 1 ± 2. 3 mmol / L vs. 14. 0 ± 2. 6 mmol/L), glycated hemoglobin (7. 8 ± 1. 1% vs. 9. 6 ± 1. 3%) and body mass index (23. 8 ± 3. 4 kg / m2 vs. 24. 9 ± 3. 8 kg / m2 ) in the observation group after 3 months intervention were significantly lower than the same period of the control group(p <0. 001). the fasting plasma glucose (7. 4 ± 1. 7 mmol/L vs. 9. 0 ± 1. 9 mmol/L), 2 h postprandial blood glucose (9. 6 ± 2. 5 mmol/L vs. 13. 8 ± 2. 2 mmol / L), glycated hemoglobin (7. 2 ± 0. 9%vs. 9. 4 ± 1. 3%) and body mass index (23. 5 ± 2. 9 kg / m2 vs. 24. 6 ± 3. 9 kg / m2 ) in the observation group after 6months intervention were signifi-cantly lower than the same period of the control group(p <0. 001). the movement times in the intervention group after 3 months inter-vention (3. 8 ± 1. 5 times / week vs. 2. 6 ± 1. 9 times / week) and after 6 months intervention(4. 9 ± 2. 0 times / week vs. 3. 2 ± 0. 8 times / week) were significantly higher than the level of the same period of the control group. p<0. 001. the outpatient rate (21. 4%vs. 37. 1 %) patients and total complication rate (8. 6 % vs. 24. 3 %) in observation group was significantly lower than the control group,p <0. 05. conclusion Type 2 diabetes health education under the guidance of the idea of evidence-based conclusions could effectively reduce fasting blood glucose, plasma glucose and glycosylated hemoglobin levels, improve exercise times, lower overall out-patient rate and complication rate.
Pages: 107-109,110
Year: 2015 Issue: 2
Journal: Haerbin Medical Journal
Keyword: Evidence-based thinking; Type 2 diabetes; Health guidance; Efficacy;
Abstract: Objective Analysis the application of evidence-based in health guidance in type 2 diabetic patients,and evaluate it,s efficacy. Methods R140 patients with type 2 diabetes from Qingyuan City People′s Hospital were randomly divided into observa-tion group and control group. each group contained 70 patients. the control group treated with routine care and guidance. and the obser-vatiom were used evidence-based to guide health. according to evidence-based, ask questions, evidence-based care purposes and plans to guide the implementation of evidence-based health care steps,the related indicators of blood sugar, readmission rates and complications were compared. Results The fasting plasma (7. 8 ± 1. 8 mmol/L vs. 8. 9 ± 2. 2 mmol / L),the glucose blood glucose after 2 h postprandial (10. 1 ± 2. 3 mmol / L vs. 14. 0 ± 2. 6 mmol/L), glycated hemoglobin (7. 8 ± 1. 1% vs. 9. 6 ± 1. 3%) and body mass index (23. 8 ± 3. 4 kg / m2 vs. 24. 9 ± 3. 8 kg / m2 ) in the observation group after 3 months intervention were significantly lower than the same period of the control group(p <0. 001). the fasting plasma glucose (7. 4 ± 1. 7 mmol/L vs. 9. 0 ± 1. 9 mmol/L), 2 h postprandial blood glucose (9. 6 ± 2. 5 mmol/L vs. 13. 8 ± 2. 2 mmol / L), glycated hemoglobin (7. 2 ± 0. 9%vs. 9. 4 ± 1. 3%) and body mass index (23. 5 ± 2. 9 kg / m2 vs. 24. 6 ± 3. 9 kg / m2 ) in the observation group after 6months intervention were signifi-cantly lower than the same period of the control group(p <0. 001). the movement times in the intervention group after 3 months inter-vention (3. 8 ± 1. 5 times / week vs. 2. 6 ± 1. 9 times / week) and after 6 months intervention(4. 9 ± 2. 0 times / week vs. 3. 2 ± 0. 8 times / week) were significantly higher than the level of the same period of the control group. p<0. 001. the outpatient rate (21. 4%vs. 37. 1 %) patients and total complication rate (8. 6 % vs. 24. 3 %) in observation group was significantly lower than the control group,p <0. 05. conclusion Type 2 diabetes health education under the guidance of the idea of evidence-based conclusions could effectively reduce fasting blood glucose, plasma glucose and glycosylated hemoglobin levels, improve exercise times, lower overall out-patient rate and complication rate.
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