摘要
目的探讨和评价应用多维强化行为教育对肝硬化合并糖尿病患者治疗效果及身心生活质量的影响。方法选取本院感染科2016年1月至2020年5月间收治的肝硬化合并糖尿病患者64例,随机均分为对照组与观察组各32例。对照组实施肝硬化及糖尿病常规健康教育,观察组实施药物治疗、心理调适、饮食结构及运动调整等多维强化行为教育干预模式。干预12个月,对比两组干预前后的疾病认知、药物治疗依从性、营养指标(BMI)及血糖控制(GLU/2hPBG/GHb)、心理调适(SAS/SDS)及生活质量(SF-36)。结果干预前,两组疾病认知、药物治疗依从等,BMI、SAS/SDS测评值,GLU/2hPBG/GHb控制水平及SF-36比较均无明显差异(P>0.05);观察组干预12月后的依从性得分、BMI检测增高值、SF-36各项目及总分均明显高于对照组(P<0.05);观察组干预后的SAS/SDS、GLU/2hPBG/GHb平均值均明显低于对照组(P<0.05)。结论通过对肝硬化合并糖尿病患者实施多维强化行为教育干预模式,患者疾病认知和用药依从等行为均得到明显纠正,营养状况明显改善,情绪和血糖控制更为理想,身心健康及整体生存质量得到明显提高。
Objective:To explore and evaluate the effect of applying multi-dimensional intensive behavioral education on the treatment effect and quality of physical and mental life of patients with liver cirrhosis and diabetes.Methods:A total of 64 patients with cirrhosis and diabetes who were treated at the Department of Infectious Diseases of our hospital between January 2016 and May 2020 were selected and randomly divided into control group and observation group with 32 cases each.The control group received routine health education for liver cirrhosis and diabetes,and the observation group received multi-dimensional intensive behavioral education intervention models such as drug treatment,psychological adjustment,diet structure,and exercise adjustment.Intervention for 12 months,compare the two groups'disease cognition,drug treatment compliance,nutritional indicators(BMI),blood sugar control(GLU/2hPBG/GHb),psychological adjustment(SAS/SDS)and quality of life(SF-36)before and after the intervention.Results:Before the intervention,there was no significant difference between the two groups in disease cognition,drug treatment compliance,BMI,SAS/SDS evaluation value,GLU/2hPBG/GHb control level and SF-36 comparison(P>0.05);after 12 months of intervention,the compliance score,BMI test increase value,SF-36 items and total score of observation group were significantly higher than those of the control group(P<0.05);the average values of SAS/SDS and GLU/2hPBG/GHb in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Through the implementation of a multi-dimensional intensive behavioral education intervention model for patients with liver cirrhosis and diabetes,behaviors such as disease cognition and medication compliance have been significantly corrected,nutritional status has been significantly improved,emotional and blood sugar control is more ideal,physical and mental health and overall quality of life have been significantly improved.
作者
董爱平
Dong Aiping(Department of Infectious Diseases, Guanyun County People's Hospital, Lianyungang Jiangsu, 222200, China)
出处
《中外女性健康研究》
2021年第20期14-16,共3页
Women＇s Health Research
关键词
肝硬化
糖尿病
多维强化
行为管理
依从性
生存质量
Liver cirrhosis
Diabetes
Multidimensional and intensification
Behavior management
Compliance
Quality of life
