Abstract: Objective To explore the internet peer health education mode on blood glucose control in children with type 1 diabetes and the effects of treatment adherence.Methods Totally 30 cases of children with type 1 diabetes were divided into peer education group and the control group randomly and followed up for 6 months.Serum glucose,diabetes knowledge awareness and self management level were evaluated.Results In peer education group,fasting blood glucose,2 h postprandial blood glucose,HbA1c,mean amplitude of glycemic excursions (MAGE),absolute means of daily differences (MODD),blood glucose coefficient of variation (CV),hypoglycaemia time percentage (PT1),hyperglycemia time percentage (PT3) were decreased than the baseline[(8.42±2.16)mmol/L vs (7.64±1.80)mmol/L,(12.03±1.67)mmol/L vs (9.19±0.89)mmol/L,(7.68±1.35)% vs (6.51±0.96)%,(5.35±1.05)mmol/L vs (4.09±1.03)mmol/L,(2.93±0.59)mmol/L vs (1.80±0.62)mmol/L,(25.82±7.65)% vs (18.09±4.38)%,(1.94±3.09)% vs (0.90±2.10)%,(16.14±10.63)% vs (10.16±9.95)%,P＜0.05] and they were significantly lower than those of the control group.Fasting glucose 2 h postprandial blood glucose,HbA1c and success rate of education were higher than those of the control group (P<0.05),self management score was higher than that of the control group (26.33±2.68 vs 22.59±4.78,P＜0.05).Conclusion The internet group medical visits and peer education mode of health education,have good to help children with type 1 diabetes patients to achieve glycemic control,improve self management,which is suitable for wide application in children with type 1 diabetes.

Key words: type 1 diabetes, the internet, group, peer education

摘要： 目的 分析互联网形式的同伴健康教育对1型糖尿病患儿血糖控制及治疗依从性的影响。方法 选取1型糖尿病患儿30例为研究对象,随机分为同伴教育组及对照组,随访6个月,评价患儿血糖控制、糖尿病知识知晓率及自我管理水平。结果 同伴教育组的空腹血糖、餐后2 h血糖、HbA1c、日内平均血糖波动幅度(MAGE)、日间血糖平均绝对差(MODD)、血糖变异系数(CV),低血糖时间百分比(PT1)、高血糖时间百分比(PT3)均较自身基线有所下降[(8.42±2.16)mmol/L对(7.64±1.80)mmol/L,(12.03±1.67)mmol/L对(9.19±0.89)mmol/L,(7.68±1.35)%对(6.51±0.96)%,(5.35±1.05)mmol/L对(4.09±1.03)mmol/L,(2.93±0.59)mmol/L对(1.80±0.62)mmol/L,(25.82±7.65)%对(18.09±4.38)%,(1.94±3.09)% 对(0.90±2.10)%,(16.14±10.63)%对(10.16±9.95)%,P＜0.05],且显著低于对照组,同伴教育组空腹血糖、餐后2 h血糖、HbA1c达标率高于对照组(P＜0.05)。自我管理评分高于对照组(26.33±2.68,22.59±4.78,P＜0.05)。结论 基于互联网形式的群组看病及同伴教育模式的健康教育,有利于血糖控制,提高自我管理水平,适合在1型糖尿病患儿中广泛应用。

关键词: 1型糖尿病, 互联网, 群组看病, 同伴教育