摘 要 目的：探討電話隨訪對(duì)老年2型糖尿病患者自我管理的影響。方法：選擇2015年5月至2016年9月入住上海市靜安老年醫(yī)院老年康復(fù)科的老年2型糖尿病患者120例，根據(jù)入院先后編號(hào)，按奇偶數(shù)隨機(jī)分為試驗(yàn)組和對(duì)照組各60例。試驗(yàn)組平均年齡（72.3±7.5）歲，對(duì)照組平均年齡（73.2±8.2）歲。住院期間對(duì)兩組患者均進(jìn)行常規(guī)的健康教育；出院后只對(duì)試驗(yàn)組患者進(jìn)行電話隨訪，重點(diǎn)是糖尿病基礎(chǔ)知識(shí)的掌握程度、飲食、運(yùn)動(dòng)和血糖的控制情況等。三個(gè)月后，比較兩組患者的自我管理水平和血糖控制情況。結(jié)果：干預(yù)后，試驗(yàn)組患者的自我管理水平與對(duì)照組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.01）；試驗(yàn)組空腹血糖、餐后2 h血糖、和糖化血紅蛋白的平均水平均低于對(duì)照組（P<0.01）。結(jié)論：采用出院后電話回訪能改善老年2型糖尿病患者的自我管理能力，提高糖尿病患者的血糖控制水平。
　　關(guān)鍵詞 2型糖尿病；自我管理；電話回訪
　　中圖分類號(hào)：R587.1 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）04-0045-03
　　Impact of telephone follow-up on self-management in elderly patients with type 2 diabetes mellitus
　　BIAN Shanshan1， SHI Fan2， FU Yi3
　�。�1. Nanxiang Community Health Service Center of Jiading District， Shanghai 201802， China； 2. Qilian Community Health Service Center of Baoshan District， Shanghai 200444， China； 3. Department of Neurological Rehabilitation of Geriatric Hospital of Jingan， Shanghai 200040， China）
　　ABSTRACT Objective： To investigate the influence of telephone follow-up on self-management in elderly patients with type 2 diabetes mellitus. Methods： From May 2015 to September 2016 120 elderly cases of type 2 diabetes in the Geriatric Rehabilitation Department of Geriatric Hospital of Jingan in Shanghai were selected， and according to the number of admission and the odd even number they were randomly divided into an experimental group and a control group with 60 in each group. The average age of the experimental group was （72.3±7.5） years， and the average age of the control group was （73.2±8.2） years. During the period of hospitalization， the patients of the two groups were given routine health education. After discharge， only the patients in the experimental group were followed up by telephone. The emphasis was on the mastery of basic knowledge of diabetes， diet， exercise and control of blood sugar. After three months， the self-management level and blood glucose control of the two groups were compared. Results： After intervention， the self-management level of the experimental group was statistically significant compared with the control group（P<0.01）. The average levels of fasting blood glucose， postprandial 2H blood sugar and glycated hemoglobin in the experimental group were lower than those in the control group（P<0.01）. Conclusion： The use of telephone follow-up after discharge can improve the self-management ability of elderly patients with type 2 diabetes and improve the level of blood glucose control in diabetic patients.
　　KEY WORDS type 2 diabetes mellitus； self-management； telephone follow-up

相關(guān)熱詞搜索：回訪 糖尿病患者 自我管理 老年 影響