5A护理联合结构化健康教育对2型糖尿病合并骨质疏松患者自我管理能力及血糖控制的影响

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[中图分类号]R47 [文献标识码]A [文章编号]1672-4062（2026）02（a）-0145-04

Effects of 5A Nursing Combined with Structured Health Education on Self-management Ability and Blood Glucose Control in Patients with Type 2 Diabetes Mellitus Complicated with Osteoporosis

LUYingjing'，SUNYuanjie'，DAI Zongfen²，CAORongji

1.DepartmentofEndocrinology，Qiannan People'sHospital，Duyun558o0，Guizhou，China; 2.OperatingRoom，Qiannan People'sHospital，Duyun558oo，Guizhou，China;3.DepartmentofGeriatrics，QiannanPeople'sHospital， Duyun558000，Guizhou，China

[Abstract] Objective To explore theefect of 5Anursing combined with structured health education on selfmanagementabilityand blod glucose control inpatients withtype2diabetes mellitus （T2DM）complicated withosteoporosis （OP）.Methods A total of 100 patients with T2DMcomplicated with OP admited to Qiannan People's Hospital fromJanuary2O23 toDecember 2O24 wereconvenientlyselectedanddivided intocontrol group （50 cases，routine nursing）and observation group （50 cases，5A nursing combined with structured health education）according todiferent nursing methods.Theself-managementabilityand blood glucosecontrol of the two groups were compared. ResultsAfter nursing，thescoreofself-managementabilityintheobservation group werehigher thanthoseof thecontrol group，and the differences were statistically significant （all P <0.05）.After nursing，the levels of fasting plasma glucose，2-hour postprandial plasma glucoseand glycated hemoglobin Alc in theobservation group were bettr than those in the control group，and the differences were statistically significant （all P<0.05 ）. Conclusion 5A nursing combined with structured health education can efectively improve the self-managementabilityand blood glucose level of T2DM patients with OP.

[Keywords] Type2diabetesmelitus;Osteoporosis;5Anursing;Structured health education; Self-managementabil ity; Blood glucose control

2型糖尿病（type2diabetesmellitus，T2DM）是一种慢性代谢疾病，其主要标志是胰岛素的分泌不足或身体对胰岛素的反应减弱，从而使得血糖长时间保持较高水平。（剩余5935字）