CAJ | 학술논문

目的：探讨应用临床护理路径实施健康教育对糖尿病患者出院后遵医行为的影响。方法将2011年12月~2012年11月在本院治疗的2型糖尿病患者根据不同的护理方式分为传统模式教育组和护理路径教育组各60例，观察组应用临床护理路径进行健康教育，对照组采用传统模式进行健康教育，出院时患者均表示已接受并掌握所指导的内容。于患者出院后6个月末采用自行设计的问卷评定遵医行为。结果遵医行为问卷评分观察组6个月末遵医行为明显优于对照组（P＜0.05或P＜0.01）。结论临床护理路径可以提高糖尿病患者出院后遵医行为，有效提高患者自控能力，增强患者对糖尿病的认识，对控制和稳定血糖有积极意义。
목적：탐토응용림상호리로경실시건강교육대당뇨병환자출원후준의행위적영향。방법장2011년12월~2012년11월재본원치료적2형당뇨병환자근거불동적호리방식분위전통모식교육조화호리로경교육조각60례，관찰조응용림상호리로경진행건강교육，대조조채용전통모식진행건강교육，출원시환자균표시이접수병장악소지도적내용。우환자출원후6개월말채용자행설계적문권평정준의행위。결과준의행위문권평분관찰조6개월말준의행위명현우우대조조（P＜0.05혹P＜0.01）。결론림상호리로경가이제고당뇨병환자출원후준의행위，유효제고환자자공능력，증강환자대당뇨병적인식，대공제화은정혈당유적겁의의。
Objective To investigate the effect of implementation of health education by using clinical nursing pathway on the compliance behavior of patients with diabetes after discharge from hospital. Methods The patients with type 2 diabetes from December 2011 to November 2012 in our hospital were divided into the traditional mode education group and the nursing pathway education group according to the different nursing methods, every group had sixty patients. The patients in the observation group were given the health education by using the clinical nursing pathway, while the patients in the control group were given the health education by using the traditional mode, and the patients in the two groups were said to have been accepted and mastered the content of instruction when discharged from hospital. The compliance behavior of patients were evaluated at the end of 6 months after discharge from hospital by the self-designed questionnaire. Results The compliance behavior questionnaire score showed that the compliance behavior of patients at the end of 6 months in the observation group was significantly better than that in the control group(P<0.05 or P<0.01). Conclusion Clinical nursing pathway can improve the compliance behavior of patients with diabetes after discharge from hospital, improve the control ability of patients effectively, enhance the patient's awareness of diabetes, and which has positive significance on the dominance and stable of blood sugar.