看图对话互动式教育防治社区2型糖尿病模式探讨.docVIP

看图对话互动式教育防治社区2型糖尿病模式探讨 　　摘 要 目的：探讨慢病管理团队“看图对话”互动式教育在2型糖尿病患者防治中的应用及效果评估。方法：2012年2月至2013年2月，采用1999年的WHO糖尿病诊断标准，选择100例2型糖尿病患者随机分为干预组和对照组各50例，干预组由慢病综合管理健康教育团队护士利用国际糖尿病联盟推出的4幅“看图对话”工具进行互动式教育，对照组采用大讲堂及发放糖尿病防治健康教育宣传资料进行糖尿病常规教育。6个月后观察两组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白3个指标及进行患者糖尿病基本知识认知及遵医行为效果评估。结果：干预组6个月前、后餐后2 h血糖指标比较差异有统计学意义（P0.05）。两组患者对糖尿病疾病知识的认知情况及遵医行为评估比较，干预组优于对照组（P0.05）。结论：“看图对话”互动式教育对2型糖尿病患者防治起到一定的作用，血糖控制更加理想，对糖尿病相关知识的认知有所提高，执行遵医行为更加明显。 　　关键词 2型糖尿病 看图对话 互动式教育 　　中图分类号：R587.1 文献标识码：A 文章编号：1006-1533（2016）16-0041-03- 　　Discussion of the mode of interactive education with “dialogue with picture” in the prevention and treatment of type 2 diabetes in the community 　　SHEN Xiaying， CHEN Tingting， YANG Zongyu， XU Ming， SHEN Zhengyu， YANG Jing， HUANG Di， NIE Ran， JIN Lan， HU Yan， LEI 　　Yun， YANG Fang 　　（Changfeng Community Health Service Center of Putuo District， Shanghai 200062， China） 　　ABSTRACT Objective： To discuss the application of interactive education with “dialogue with picture” in the prevention and treatment of type 2 diabetes patients by the chronic disease management team. Methods： From Feb. 2012 to Feb. 2013， 100 cases of type 2 diabetes patients were selected and divided into an intervention group and a control one with 50 cases each with WHO diabetes diagnostic standard of 1999. The intervention group was interactively educated by the nurses of the chronic disease management team who applied “dialogue with picture” which was introduced by International Diabetes Federation. The auditorium and distribution of health education materials for diabetes prevention and treatment were used as the diabetes routine education for the control group. The indexes of fasting blood glucose， 2 h postprandial blood glucose， and glycohemoglobin， knowledge of diabetes and compliance behavior were observed in the patients in the two groups after 6 months. Results： In the intervention group， the difference of 2 hPG had the statistical significance before and after six months（P0.05）. The