中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2014年
3期
167-170
,共4页
李兵晖%张超%张方华%任爱霞%王晓燕
李兵暉%張超%張方華%任愛霞%王曉燕
리병휘%장초%장방화%임애하%왕효연
糖尿病,2型%健康教育%情景教学
糖尿病,2型%健康教育%情景教學
당뇨병,2형%건강교육%정경교학
Diabetes mellitus,type 2%Health education%Situational teaching
目的 探讨情景式健康教育对2型糖尿病患者血糖控制的影响.方法 将98例2型糖尿病患者按随机数字表法分成试验组和对照组各49例,试验组男19例,女30例,平均年龄(49.6±15.8)岁;对照组男23例,女26例,平均年龄(50.5±14.7)岁.试验组接受情景式教育模式,对照组接受糖尿病常规教育,比较两组患者干预前和干预后1年空腹血糖(FPG)、餐后2h血糖(2 hPG)、糖化血红蛋白(HbAlc)等反映糖尿病疗效的代谢指标以及自护行为能力的变化.采用配对t检验进行统计学分析,以成组t检验进行组间指标的比较.结果 干预前两组FPG、2hPG、HbA1c及自护行为评分差异均无统计学意义;干预1年后,两组FPG、2hPG、HbA1c均较干预前有显著下降,试验组FPG(6.5±1.6)mmol/L、2hPG(7.9±2.0)mmol/L、HbA1 c(6.7±1.2)％都显著低于对照组[(7.8±2.4)mmol/L,(10.6±3.5)mmol/L,(7.5±1.4)％;t=2.71,3.35,2.90;P=0.03,0.02,0.04];试验组饮食控制(22.6±2.8),规律运动(14.8±2.3),遵医嘱服药(15.6±1.6),血糖监测(15.7±1.7),足部护理(17.2±2.1),高低血糖处理(16.9±1.7),患者的各项白护行为能力评分均高于对照组(19.7±3.2,11.9±2.4,13.5±1.6,12.5±2.0,15.6±1.6,14.6±1.9; t=7.36,6.51,5.24,5.07,6.57,6.77;P均＜0.05).结论 情景式健康教育可促进2型糖尿病患者糖尿病自我管理能力提高,改善其血糖控制.
目的 探討情景式健康教育對2型糖尿病患者血糖控製的影響.方法 將98例2型糖尿病患者按隨機數字錶法分成試驗組和對照組各49例,試驗組男19例,女30例,平均年齡(49.6±15.8)歲;對照組男23例,女26例,平均年齡(50.5±14.7)歲.試驗組接受情景式教育模式,對照組接受糖尿病常規教育,比較兩組患者榦預前和榦預後1年空腹血糖(FPG)、餐後2h血糖(2 hPG)、糖化血紅蛋白(HbAlc)等反映糖尿病療效的代謝指標以及自護行為能力的變化.採用配對t檢驗進行統計學分析,以成組t檢驗進行組間指標的比較.結果 榦預前兩組FPG、2hPG、HbA1c及自護行為評分差異均無統計學意義;榦預1年後,兩組FPG、2hPG、HbA1c均較榦預前有顯著下降,試驗組FPG(6.5±1.6)mmol/L、2hPG(7.9±2.0)mmol/L、HbA1 c(6.7±1.2)％都顯著低于對照組[(7.8±2.4)mmol/L,(10.6±3.5)mmol/L,(7.5±1.4)％;t=2.71,3.35,2.90;P=0.03,0.02,0.04];試驗組飲食控製(22.6±2.8),規律運動(14.8±2.3),遵醫囑服藥(15.6±1.6),血糖鑑測(15.7±1.7),足部護理(17.2±2.1),高低血糖處理(16.9±1.7),患者的各項白護行為能力評分均高于對照組(19.7±3.2,11.9±2.4,13.5±1.6,12.5±2.0,15.6±1.6,14.6±1.9; t=7.36,6.51,5.24,5.07,6.57,6.77;P均＜0.05).結論 情景式健康教育可促進2型糖尿病患者糖尿病自我管理能力提高,改善其血糖控製.
목적 탐토정경식건강교육대2형당뇨병환자혈당공제적영향.방법 장98례2형당뇨병환자안수궤수자표법분성시험조화대조조각49례,시험조남19례,녀30례,평균년령(49.6±15.8)세;대조조남23례,녀26례,평균년령(50.5±14.7)세.시험조접수정경식교육모식,대조조접수당뇨병상규교육,비교량조환자간예전화간예후1년공복혈당(FPG)、찬후2h혈당(2 hPG)、당화혈홍단백(HbAlc)등반영당뇨병료효적대사지표이급자호행위능력적변화.채용배대t검험진행통계학분석,이성조t검험진행조간지표적비교.결과 간예전량조FPG、2hPG、HbA1c급자호행위평분차이균무통계학의의;간예1년후,량조FPG、2hPG、HbA1c균교간예전유현저하강,시험조FPG(6.5±1.6)mmol/L、2hPG(7.9±2.0)mmol/L、HbA1 c(6.7±1.2)％도현저저우대조조[(7.8±2.4)mmol/L,(10.6±3.5)mmol/L,(7.5±1.4)％;t=2.71,3.35,2.90;P=0.03,0.02,0.04];시험조음식공제(22.6±2.8),규률운동(14.8±2.3),준의촉복약(15.6±1.6),혈당감측(15.7±1.7),족부호리(17.2±2.1),고저혈당처리(16.9±1.7),환자적각항백호행위능력평분균고우대조조(19.7±3.2,11.9±2.4,13.5±1.6,12.5±2.0,15.6±1.6,14.6±1.9; t=7.36,6.51,5.24,5.07,6.57,6.77;P균＜0.05).결론 정경식건강교육가촉진2형당뇨병환자당뇨병자아관리능력제고,개선기혈당공제.
Objective To evaluate the effect of situational health education in glycemic control in type 2 diabetes patients.Methods A total of 98 patients with type 2 diabetes was randomly assigned to the control(n=49)and the study group(n=49).The control group received conventional diabetes education,while the study group received situational health education.Fasting blood glucose(FBG),2-hour plasma glucose (2 hPG),HbAlc and the self-care behaviors were observed at baseline and 1-year after the intervention.Paired t test was used for data analysis.Results FPG,2hPG,HbA1c and self-care behavior scores were not significantly different between the two group at baseline.After 1-year intervention,FPG,2hPG and HbA1c of the two groups were significantly decreased,and FPG,2hPG and HbA1c of the study group were significantly lower than those of the control group(t values were 2.71,3.35 and 2.90,respectively; all P＜ 0.05).In comparison with the control group,self-care scores of the study group were increased(t values were 7.36,6.51,5.24,5.07,6.57 and 6.77,respectively; all P＜0.05).Conclusion Situational health education could improve self-management and glycemic control of type 2 diabetic patients.
