PDCA循环结合全程健康教育对糖尿病合并非酒精脂肪肝患者随访的效果观察

摘要

Objective To evaluate the effect of follow-up management based on PDCA circulation combined with PIO(Problem, Intervention,Outcome) in type 2 diabetes mellitus(T2DM) patients complicated with non-alcoholic fatty liver disease(NAFLD). Methods Totally 208 T2DM patients complicated with NAFLD were randomly divided into two groups. The patients in the control group received routine follow-up management. In addition,patients in the experimental group received follow-up management based on PDCA circulation combined with PIO. Results The patients' mastery of disease related knowledge,self-care behaviors and biochemical indexes in the experimental group were significantly better than those of control group at 3 and 6 month after intervention (P<0.05). Conclusion The follow-up management based on PDCA circulation combined with PIO is a patient-centered and interactive model,which can effectively improve the patients' clinical outcomes,improve the patients' self care behaviors and quality of life.%目的 探讨PDCA循环结合全程健康教育形式(Problem Injection Outcome,PIO)用于2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)患者的健康教育效果.方法 选择T2DM合并NAFLD的患者208例,采用随机数字表分组.试验组在常规随访的同时,应用PDCA循环结合PIO形式进行随访管理；对照组进行常规随访模式管理.结果 随访3个月、6个月后,糖尿病及脂肪肝知识的掌握情况、糖尿病自护行为评分、生化指标进行比较,试验组优于对照组,差异均有统计学意义(P＜0.05).结论 PDCA循环结合PIO形式随访管理是一种以患者为中心的全程、互动模式,能改善T2DM合并NAFLD患者的临床指标,提高其自护行为及生活质量.