CAJ | 학술논문

目的探讨自我效能干预对康复期精神分裂症伴精尿病患者的健康教育效果.方法将60例患者按住院先后顺序单号为观察组(30例),双号为对照组(30例).在药物治疗的基础上,观察组参与自我效能干预10周；对照组不作特殊安排,接受一般说教式健康教育模式和常规护理方法,每人发放一份健康教育手册,内附精神分裂症与糖尿病健康知识、糖尿病监测记录单.应用自制健康知识问卷表、社会功能缺陷筛选量表(SDSS),评定患者对糖尿病的认知程度、患者社会功能改善状况,采用全自动生化分析仪测定患者空腹血糖(FPG)、餐后2h血糖(2 hPG)控制状况.结果 10周后观察组患病原因、服药依从性、服药注意事项、并发症的管理、自我检测常识、饮食计算和综合管理能力水平高于对照组,差异有统计学意义(t值分别为2.810,3.843,3.617,2.841,2,741,4.281,3.867；P均＜0.05)；SDSS各因子分(社会性退缩、病房内活动、个人生活自理、对外界的兴趣和责任性和计划性)显著低于对照组,差异有统计学意义(t值分别为3.640,2.802,2.953,3.241,2.915;P均＜0.05)；FPG和2 hPG明显低于对照组[(5.1±1.4) mmol/L比(9.5±2.4)mmol/L,(8.9±1.3)mmol/L比(11.4±2.4) mmol/L],差异有统计学意义(t值分别为3.74,3.57;P均＜0.01).结论以自我效能干预为基础的健康教育,能改善精神分裂症伴糖尿病患者的症状及糖代谢,有效改善患者社会功能,提高患者生存质量.
목적 탐토자아효능간예대강복기정신분렬증반정뇨병환자적건강교육효과.방법 장60례환자안주원선후순서단호위관찰조(30례),쌍호위대조조(30례).재약물치료적기출상,관찰조삼여자아효능간예10주；대조조불작특수안배,접수일반설교식건강교육모식화상규호리방법,매인발방일빈건강교육수책,내부정신분렬증여당뇨병건강지식、당뇨병감측기록단.응용자제건강지식문권표、사회공능결함사선량표(SDSS),평정환자대당뇨병적인지정도、환자사회공능개선상황,채용전자동생화분석의측정환자공복혈당(FPG)、찬후2h혈당(2 hPG)공제상황.결과 10주후관찰조환병원인、복약의종성、복약주의사항、병발증적관리、자아검측상식、음식계산화종합관리능력수평고우대조조,차이유통계학의의(t치분별위2.810,3.843,3.617,2.841,2,741,4.281,3.867；P균＜0.05)；SDSS각인자분(사회성퇴축、병방내활동、개인생활자리、대외계적흥취화책임성화계화성)현저저우대조조,차이유통계학의의(t치분별위3.640,2.802,2.953,3.241,2.915;P균＜0.05)；FPG화2 hPG명현저우대조조[(5.1±1.4) mmol/L비(9.5±2.4)mmol/L,(8.9±1.3)mmol/L비(11.4±2.4) mmol/L],차이유통계학의의(t치분별위3.74,3.57;P균＜0.01).결론 이자아효능간예위기출적건강교육,능개선정신분렬증반당뇨병환자적증상급당대사,유효개선환자사회공능,제고환자생존질량.
Objective To investigate the health education effect of self-efficacy intervention on schizophrenia patients with diabetes mellitus.Methods Sixty patients were divided according to their hospitalized order,with odd number for the experimental group (n =30) and even number for the control group (n =30).The experimental group received self-efficacy intervention for 10 weeks in addition to drug treatment,while the control group received general preaching health education pattern and conventional nursing method,and each patient was provided with a health education handbook including knowledge about schizophrenia and diabetes,and diabetes monitoring record sheet.Self-designed health knowledge questionnaire and social function flaw screening meter (SDSS) was used to evaluate patients ' cognition about diabetes and social function improvement.Automatic biochemistry analyzer was also used to monitor the control condition of patients' fasting blood-glucose (FPG) and 2-hour postprandial blood-glucose (2 hPG).Results Ten weeks later,patients' knowledge about the cause of disease,drug compliance,notice in drug-taking,complication management,self examination,diet calculation and comprehensive management ability was higher in the experimental group than that in the control group,and the difference was statistically significant (t =2.810,3.843,3.617,2.841,2.741,4.281,3.867,respectively; P ＜ 0.05).Factors in SDSS including social withdrawal,ward activity,personal care,interests in outer world,responsibility and tradition of planning were all lower in the experimental group than those in the control group,and the differences were statistically significant (t =3.640,2.802,2.953,3.241,2.915,respectively ;P ＜ 0.05).The FPG and 2 hPG were also lower in the experimental group than those in the control group,and the differences were statistically significant (t =3.74,3.57,respectively ; P ＜ 0.01).Conclusions Health education based on self-efficacy intervention can improve the symptoms and saccharometabolism of schizophrenia patients with diabetes,thus to further improve patients' social function and quality of life.