糖尿病并发症体验式健康教育在2型糖尿病病人中的应用效果研究
The application effect of diabetic complication experiential health education in patients with type 2 diabetes mellitus
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摘要: 目的：探讨糖尿病并发症体验式健康教育对2型糖尿病病人血糖控制、自我管理效能及自我管理行为的影响。方法：选择2型糖尿病病人100例，根据随机数字表法将其分为对照组和观察组，各50例，对照组给予说、听、看方式健康教育，观察组给予说、听、看加体验式健康教育。比较2组病人血糖控制、自我管理效能及自我管理行为的差异。结果：管理后2组病人FBG、2hPG、HbA1c水平均明显改善，但观察组改善更为明显（P<0.05～P<0.01），且观察组各指标均明显低于对照组（P<0.05~P<0.01）；管理后2组病人健康饮食、饮食与血糖、健康行为、遵嘱服药得分及C-DMSES总分均明显升高，但观察组升高更为明显（P<0.01），且观察组得分均明显高于对照组（P<0.01）；管理后2组病人药物、饮食、运动、血糖监测、足部护理得分及SDSCA总分均明显升高，但观察组升高更为明显（P<0.01），且观察组得分均明显高于对照组（P<0.01）。结论：对2型糖尿病病人给予糖尿病并发症体验式健康教育优化了血糖控制结果，提高了病人自我效能水平，改善了自我管理行为。Abstract: Objective:To explore the effects of experiential health education on the glycemic control,self-management efficacy and self-management behavior of patients with type 2 diabetes mellitus.Methods:One hundred patients with type 2 diabetes mellitus were divided into the control group and observation group according to the random digital table method(50 cases each group).The control group patients were taught with the speaking,listening and watching,and the observation group patients were taught with the speaking,listening and watching combined with experiential health education.The glycemic control,self-management efficacy and self- management behavior between two groups were compared.Results:After management,the levels of FBG,2hPG and HbA1c in two groups were significantly improved,but the improvement degree of which in observation was more obvious(P<0.05 to P<0.01),and all indexes levels in observation group were significantly lower than those in control group(P<0.05 to P<0.01).After management,the healthy diet,diet and blood glucose,healthy behavior,compliance with wills score and total score of C-DMSES in two groups increased significantly,the score of which in observation group was significantly higher than that in control group(P<0.01).After management,the medicine,diet,exercise,blood glucose monitoring,foot care score and total score of SDSCA in two groups increased significantly,the increasing degree of which in observation was more obvious(P<0.01),and all scores in observation group were significantly higher than those in control group(P<0.01).Conclusions:The experiential health education in patients with type 2 diabetes mellitus optimizes the results of blood glucose control,improves the level of self-management efficacy and self-management behavior.
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