中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
5期
375-379
,共5页
自我效验%糖尿病,2型%骨质疏松%健康教育
自我效驗%糖尿病,2型%骨質疏鬆%健康教育
자아효험%당뇨병,2형%골질소송%건강교육
Self-efficacy%Diabetes mellitus,type 2%Osteoporosis%Health education
目的 探讨自我效能理论健康教育对糖尿病性骨质疏松症患者的影响.方法 采用SPSS 19.0软件产生随机数字,将260例2型糖尿病性骨质疏松症患者随机分为干预组及对照组各130例,干预组进行自我效能理论健康教育,对照组进行常规的健康教育,采用《骨质疏松症自我效能量表》进行效能评分,使用《SF-36健康调查量表》进行生活质量评分,双能X线检测骨密度,葡萄糖氧化酶法检测血糖,高效液相色谱法检测糖化血红蛋白.随访1年,对比两组干预前后评分及指标变化.结果 对照组和干预组分别有104和107例患者完成随访.随访1年后,干预组自我效能总分、运动效能、摄钙效能评分[分别为(82.25±13.54)、(79.26±15.37)、(84.39±17.09)分]均高于对照组[分别为(71.14±14.19)、(63.89±19.87)、(75.24±10.70)分],差异有统计学意义(t值分别为6.04、7.95、5.77,P值均＜0.05);干预组总体健康、生命活力、社会功能、情感职能、精神健康等5个维度评分[分别为(75.29±14.90)、(68.61±17.38)、(75.74±18.50)、(71.22±17.93)、(73.69±14.40)分]均高于对照组[分别为(44.25±11.01)、(47.39±18.90)、(63.54±15.95)、(49.04±19.36)、(55.15±19.74)分],差异有统计学意义(t值分别为8.45、8.83、6.92、8.79、8.05,P值均＜0.05);干预组空腹血糖、餐后2h血糖、糖化血红蛋白[分别为(7.29±1.81) mmol/L、(8.21±2.37)mmol/L、(6.59±0.92)％]低于对照组[分别为(8.53±1.66) mmol/L、(9.41±3.30) mmol/L、(7.66±1.50)％](t值分别为5.33、4.67、5.49,P值均＜0.05).在随访1年期间,对照组发生骨折7例(6.73％),而干预组只有1例(0.93％),差异有统计学意义(x2 =4.86,P=0.028).结论 自我效能理论健康教育可以提高糖尿病性骨质疏松症患者生活质量,降低骨折风险.
目的 探討自我效能理論健康教育對糖尿病性骨質疏鬆癥患者的影響.方法 採用SPSS 19.0軟件產生隨機數字,將260例2型糖尿病性骨質疏鬆癥患者隨機分為榦預組及對照組各130例,榦預組進行自我效能理論健康教育,對照組進行常規的健康教育,採用《骨質疏鬆癥自我效能量錶》進行效能評分,使用《SF-36健康調查量錶》進行生活質量評分,雙能X線檢測骨密度,葡萄糖氧化酶法檢測血糖,高效液相色譜法檢測糖化血紅蛋白.隨訪1年,對比兩組榦預前後評分及指標變化.結果 對照組和榦預組分彆有104和107例患者完成隨訪.隨訪1年後,榦預組自我效能總分、運動效能、攝鈣效能評分[分彆為(82.25±13.54)、(79.26±15.37)、(84.39±17.09)分]均高于對照組[分彆為(71.14±14.19)、(63.89±19.87)、(75.24±10.70)分],差異有統計學意義(t值分彆為6.04、7.95、5.77,P值均＜0.05);榦預組總體健康、生命活力、社會功能、情感職能、精神健康等5箇維度評分[分彆為(75.29±14.90)、(68.61±17.38)、(75.74±18.50)、(71.22±17.93)、(73.69±14.40)分]均高于對照組[分彆為(44.25±11.01)、(47.39±18.90)、(63.54±15.95)、(49.04±19.36)、(55.15±19.74)分],差異有統計學意義(t值分彆為8.45、8.83、6.92、8.79、8.05,P值均＜0.05);榦預組空腹血糖、餐後2h血糖、糖化血紅蛋白[分彆為(7.29±1.81) mmol/L、(8.21±2.37)mmol/L、(6.59±0.92)％]低于對照組[分彆為(8.53±1.66) mmol/L、(9.41±3.30) mmol/L、(7.66±1.50)％](t值分彆為5.33、4.67、5.49,P值均＜0.05).在隨訪1年期間,對照組髮生骨摺7例(6.73％),而榦預組隻有1例(0.93％),差異有統計學意義(x2 =4.86,P=0.028).結論 自我效能理論健康教育可以提高糖尿病性骨質疏鬆癥患者生活質量,降低骨摺風險.
목적 탐토자아효능이론건강교육대당뇨병성골질소송증환자적영향.방법 채용SPSS 19.0연건산생수궤수자,장260례2형당뇨병성골질소송증환자수궤분위간예조급대조조각130례,간예조진행자아효능이론건강교육,대조조진행상규적건강교육,채용《골질소송증자아효능량표》진행효능평분,사용《SF-36건강조사량표》진행생활질량평분,쌍능X선검측골밀도,포도당양화매법검측혈당,고효액상색보법검측당화혈홍단백.수방1년,대비량조간예전후평분급지표변화.결과 대조조화간예조분별유104화107례환자완성수방.수방1년후,간예조자아효능총분、운동효능、섭개효능평분[분별위(82.25±13.54)、(79.26±15.37)、(84.39±17.09)분]균고우대조조[분별위(71.14±14.19)、(63.89±19.87)、(75.24±10.70)분],차이유통계학의의(t치분별위6.04、7.95、5.77,P치균＜0.05);간예조총체건강、생명활력、사회공능、정감직능、정신건강등5개유도평분[분별위(75.29±14.90)、(68.61±17.38)、(75.74±18.50)、(71.22±17.93)、(73.69±14.40)분]균고우대조조[분별위(44.25±11.01)、(47.39±18.90)、(63.54±15.95)、(49.04±19.36)、(55.15±19.74)분],차이유통계학의의(t치분별위8.45、8.83、6.92、8.79、8.05,P치균＜0.05);간예조공복혈당、찬후2h혈당、당화혈홍단백[분별위(7.29±1.81) mmol/L、(8.21±2.37)mmol/L、(6.59±0.92)％]저우대조조[분별위(8.53±1.66) mmol/L、(9.41±3.30) mmol/L、(7.66±1.50)％](t치분별위5.33、4.67、5.49,P치균＜0.05).재수방1년기간,대조조발생골절7례(6.73％),이간예조지유1례(0.93％),차이유통계학의의(x2 =4.86,P=0.028).결론 자아효능이론건강교육가이제고당뇨병성골질소송증환자생활질량,강저골절풍험.
Objective To investigate the impact of self-efficacy theory health education in patients of diabetic osteoporosis.Methods We used SPSS 19.0 software to generate random numbers and 260 diabetic osteoporosis patients were randomly divided into an observation group and a control group.There was 130 patients in observation group,130 in control group.The self-efficacy theory health education was carried out in observation group,and routine health education in control group.SF-36 questionnaire was used to assess the quality of life.Osteoporosis self-efficacy scale (OSES) was used to assess self-efficacy.Bone mineral density(BMD) was measured by dual energy X-ray absorptiometry.Blood glucose was detected by glucose oxidase method.Glycosylated hemoglobin was detected by high efficiency liquid chromatography to estimate the index change before intervention and after one year's follow up.Results The number of patients that had completed follow-up was 104 in control group and 107 in observation group.The self-efficacy scores,movement efficiency scores and calcium intake efficiency scores were all higher in intervention group((82.25 ± 13.54),(79.26 ± 15.37),(84.39 ± 17.09) points)than which in the control group ((71.14 ± 14.19),(63.89 ± 19.87),(75.24 ± 10.70) points) after one year's follow up,there were significant differences in two groups (t values were 6.04,7.95,5.77,all P values ＜ 0.05).The scores of quality of life in the dimension of general health,vitality,social function,role emotional and mental health were all higher in intervention group((75.29 ± 14.90),(68.61 ± 17.38),(75.74 ± 18.50),(71.22 ±17.93),(73.69 ± 14.40) points)than in the control group((44.25 ± 11.01),(47.39 ± 18.90),(63.54 ± 15.95),(49.04 ± 19.36),(55.15 ± 19.74) points),there were significant differences in two groups(t values were 8.45,8.83,6.92,8.79,8.05,all P values ＜ 0.05).Fasting blood-glucose 2 hour postprandial blood glucose and glycosylated hemoglobin were all lower in intervention group((7.29 ± 1.81)mmol/L,(8.21 ± 2.37) mmol/L,(6.59 ± 0.92) ％) than in the control group ((8.53 ± 1.66) mmol/ L,(9.41 ± 3.30) mmol/L,(7.66 ± 1.50) ％),there were significant differences in two groups (t values were 5.33,4.67,5.49,all P values ＜ 0.05).There were 1 (0.93％)fracture case in observation group and 7 (6.73％)cases in control group during one year's follow up,there are significant difference in two groups (x2 =4.86,P =0.028).Conclusions The self-efficacy theory health education may improve the quality of life and decreased fracture risk of diabetic osteoporosis patients.
