摘要
目的研究社区自我管理模式健康教育对糖尿病患者的效果。方法选择广州市海珠区海幢街社区120例糖尿病患者,随机分为干预组和对照组各60例。对干预组患者进行自我管理模式健康教育,对照组仅给予常规健康教育。干预1年后,对比2组患者教育前后生化指标改变,糖尿病相关知识知晓率及健康行为的改变,综合分析2组效果。结果干预后,干预组与对照组生化指标均有改善,空腹血糖[(6.63±0.61)vs(7.51±0.88)]mmol/L、糖化血红蛋白[(6.58±0.46)vs(7.15±0.48)]%、总胆固醇[(5.68±0.66)vs(6.22±0.57)]mmol/L,2组生化指标改善差异有统计学意义(P<0.01);干预后,干预组与对照组对糖尿病诊断标准(93.3%vs 66.7%)、糖尿病主要症状(95.0%vs 75.0%)、肥胖是危险因素(86.7%vs 63.3%)、吸烟是危险因素(76.7%vs 50.0%)、糖尿病主要损害器官(90.0%vs 55.0%)、感觉良好后需坚持服药(91.7%vs 71.7%)的知晓率均较干预前上升,2组间差异有统计学意义(P<0.01);同时干预后健康行为能力评分均升高,干预组与对照组比较,规律用药[(4.73±0.45)vs(4.48±0.50)]分、合理饮食[(3.67±0.88)vs(2.53±0.93)]分、体育锻炼[(3.80±1.04)vs(2.77±1.27)]分、疾病共性管理[(3.82±0.79)vs(2.83±0.69)]分,差异均有统计学意义(P<0.01)。结论社区糖尿病自我管理模式健康教育比常规健康教育效果更好,不仅提高患者血糖控制率和糖尿病相关知识知晓率,更能有效改善患者健康行为,让患者在学习中掌握糖尿病自我管理核心技能,对糖尿病控制具有积极意义,应在社区中积极推广。
Objective Study on the effect of self-management mode of community health education on diabetes patients. Methods The choice of community diabetic patients 120 cases, were randomly divided into intervention group and control group with 60 cases in each group. Self-management mode of health education for the patients in the intervention group, the control group only received conventional health education, the study period of 1 years. Detection of biochemical indexes and questionnaire investigation to the patients in the education front, rear, change the contrast before and after the two groups of patients with biochemical index and the rate of education, health awareness of diabetes related knowledge behavior change, a comprehensive analysis of effects of two groups. Results After the intervention, the intervention group and the control group of biochemical indexes were improved, fasting blood glucose [ （6. 63 ±0.61 ） vs （7.51 ±0. 88） ] mmol/L, HbA1 c [ （6. 58 ± 0.46） vs （7. 15 ± 0. 48） ] %, total cholesterol [ （5.68 ± 0. 66） vs （6. 22 ± 0. 57） ] mmol/ L, there were significant differences in the improvement of biochemical parameters in the two groups （P 〈 0. 01 ）, after the intervention, the awareness rate of the intervention group and the control group about the diagnostic criteria for diabetes （93.3% vs 66.7% ）, the main symptoms of diabetes （95.0% vs 75.0% ）, obesity is a risk factor （86.7% vs 63.3% ）, cigarette smoking is a risk factor （ 76. 7% vs 50.0% ）, the main organ damage in patients with diabetes （ 90. 0% vs 55.0% ）, feel good after medication adherence （91.7% vs 71.7% ）, they were all higher than before the intervention, the difference between the two groups was statistically significant （P 〈 0. 01 ）, at the same time, after the intervention, the healthy behavior ability score were higher, compare intervention group and control group, regular medication [ （4. 73 ± 0.45） vs （4.48 ± 0.50） ], reasonable diet [ （3.67 ± 0. 88） vs （2. 53 ±0. 93 ） ], physical exercise [ （ 3.80 ±1.04） vs （ 2. 77± 1.27 ） ], disease common management [ （3.82 ± 0. 79 ） vs （2. 83 ± 0. 69） ] , the difference was statistically significant （P 〈 0.01 ）. Conclusion Community diabetes self-management health education pattern has better effects than the conventional health education, not only improve glycemic control in patients with diabetes and the rate of awareness rate of related knowledge, more can effectively improve the health behavior of patients, for patients to learn the diabetes self management core skills in learning. The model of health education is of positive significance to the diabetes control, should be actively promoted in the community.
出处
《中国健康教育》
北大核心
2016年第1期20-23,共4页
Chinese Journal of Health Education
关键词
社区
糖尿病
自我管理模式
健康教育
Community
Diabetes mellitus
Self-management model
Health education
