中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
30期
116-118,122
,共4页
健康教育策略%2型糖尿病%遵医行为%自我管理
健康教育策略%2型糖尿病%遵醫行為%自我管理
건강교육책략%2형당뇨병%준의행위%자아관리
Health education strategies%Type 2 diabetes%Compliance behavior%Self management
目的：探讨健康教育策略对2型糖尿病患者遵医行为及自我管理水平的影响。方法选择符合纳入标准的2型糖尿病患者共80例，随机分为干预组和对照组各40例，对照组予常规治疗和对症护理，干预组在对照组基础上实施健康教育策略，对比两组患者治疗前后空腹血糖、餐后2h血糖检测结果及两组患者治疗后遵医率、两组患者的饮食管理、运动管理、用药管理和自我监测管理评分。结果两组患者治疗前的空腹血糖和餐后2h血糖比较，无统计学意义(P>0.05)，治疗后两组患者的空腹血糖和餐后2 h血糖均较治疗前显著降低，且干预组患者的空腹血糖和餐后2 h血糖较对照组降低更显著，组间比较，差异有统计学意义(P<0.05)，干预组患者治疗后不遵医率5.0%，对照组治疗后的不遵医率25.0%，组间比较，差异有统计学意义(P<0.05)，干预组患者治疗后的总遵医率达95.0%，显著高于对照组治疗后的总遵医率75.0%，组间比较，差异有统计学意义(P<0.05)。干预组患者治疗后的饮食管理、运动管理、用药管理及自我监测管理评分均显著高于对照组，组间比较，差异有统计学意义(P<0.05)。结论健康教育策略有助于降低2型糖尿病患者的血糖水平，提高患者的遵医率，并提高其自我管理水平。
目的：探討健康教育策略對2型糖尿病患者遵醫行為及自我管理水平的影響。方法選擇符閤納入標準的2型糖尿病患者共80例，隨機分為榦預組和對照組各40例，對照組予常規治療和對癥護理，榦預組在對照組基礎上實施健康教育策略，對比兩組患者治療前後空腹血糖、餐後2h血糖檢測結果及兩組患者治療後遵醫率、兩組患者的飲食管理、運動管理、用藥管理和自我鑑測管理評分。結果兩組患者治療前的空腹血糖和餐後2h血糖比較，無統計學意義(P>0.05)，治療後兩組患者的空腹血糖和餐後2 h血糖均較治療前顯著降低，且榦預組患者的空腹血糖和餐後2 h血糖較對照組降低更顯著，組間比較，差異有統計學意義(P<0.05)，榦預組患者治療後不遵醫率5.0%，對照組治療後的不遵醫率25.0%，組間比較，差異有統計學意義(P<0.05)，榦預組患者治療後的總遵醫率達95.0%，顯著高于對照組治療後的總遵醫率75.0%，組間比較，差異有統計學意義(P<0.05)。榦預組患者治療後的飲食管理、運動管理、用藥管理及自我鑑測管理評分均顯著高于對照組，組間比較，差異有統計學意義(P<0.05)。結論健康教育策略有助于降低2型糖尿病患者的血糖水平，提高患者的遵醫率，併提高其自我管理水平。
목적：탐토건강교육책략대2형당뇨병환자준의행위급자아관리수평적영향。방법선택부합납입표준적2형당뇨병환자공80례，수궤분위간예조화대조조각40례，대조조여상규치료화대증호리，간예조재대조조기출상실시건강교육책략，대비량조환자치료전후공복혈당、찬후2h혈당검측결과급량조환자치료후준의솔、량조환자적음식관리、운동관리、용약관리화자아감측관리평분。결과량조환자치료전적공복혈당화찬후2h혈당비교，무통계학의의(P>0.05)，치료후량조환자적공복혈당화찬후2 h혈당균교치료전현저강저，차간예조환자적공복혈당화찬후2 h혈당교대조조강저경현저，조간비교，차이유통계학의의(P<0.05)，간예조환자치료후불준의솔5.0%，대조조치료후적불준의솔25.0%，조간비교，차이유통계학의의(P<0.05)，간예조환자치료후적총준의솔체95.0%，현저고우대조조치료후적총준의솔75.0%，조간비교，차이유통계학의의(P<0.05)。간예조환자치료후적음식관리、운동관리、용약관리급자아감측관리평분균현저고우대조조，조간비교，차이유통계학의의(P<0.05)。결론건강교육책략유조우강저2형당뇨병환자적혈당수평，제고환자적준의솔，병제고기자아관리수평。
Objective To explore the effect of health education strategies on compliance medical behavior and self management in patients with type 2 diabetes. Methods Choose type 2 diabetic patients 80 cases,were randomly divided into intervention group and control group,40 cases in each group, the control group received routine treatment and symptomatic care, the intervention group on based on the control group taken health education strategies, before and after the fasting blood glucose,2 h postprandial blood glucose test results,and the compliance rate of patients between two groups after treatment,diet management, sports management,drug management and self monitoring scale were compared between two groups of patients. Results Before treatment,the fasting and postprandial and 2 h glucose of two groups of patients had no statistical significance(P>0.05). After treatment,fasting and 2 h postprandial blood glucose decreased significantly than before treatment, and the fasting and 2 h postprandial blood glucose of intervention group compared with the control group decreased more significantly, the difference was statistical significant(P<0.05),the not compliance rate of patients in the intervention group after the treatment was 5.0%,the not compliance rate of con-trol group after treatment was 25.0%,the difference was statistically significant between two groups(P<0.05). Compli-ance rate of patients in the intervention group after the treatment was 95.0%,was significantly higher than the control group's compliance rate (75.0%),the difference was statistically significant(P<0.05).Intervention group patients after diet management,sports management,medicine management and self monitoring management scores were significantly higher than those in the control group,the difference was statistically significant between two groups(P<0.05). Conclu-sion Health education strategies help to lower blood sugar levels in patients with type 2 diabetes,improve patient com-pliance rate,and improve the level of self management.
