多元化健康教育在桂西地区糖尿病患者应用效果观察.docVIP

多元化健康教育在桂西地区糖尿病患者应用效果观察 　　【摘要】目的探讨多元化健康教育在桂西地区糖尿病患者中的应用效果。方法将116例糖尿病患者随机分为观察组和对照组各58例，对照组采用传统的健康教育模式进行健康教育，观察组采用多元化健康教育模式进行健康教育，干预后比较两组患者糖尿病知识掌握情况、遵医行为改善情况、空腹血糖（FPG）和餐后2 h血糖（2 h PG）变化情况。结果干预前两组糖尿病知识得分比较差异无统计学意义（P0.05），干预后两组得分均较干预前提高（P0.05），干预后观察组遵医行为优于对照组（P0.05），干预后两组FPG、2 h PG均较干预前显著降低（P0.05或0.01），但观察组降低程度大于对照组（P0.01）。结论多元化健康教育能提高桂西地区糖尿病患者掌握疾病相关知识，遵医行为明显改善，血糖控制良好，值得推广应用。 　　【关键词】糖尿病；健康教育模式；遵医行为；多元化；桂西地区 　　中图分类号：R587.1047 文献标识码：ADOI：10.3969/j.issn2015.03.007 　　Observation of application effect of diversified health education in 　　patients with diabetes mellitus in western Guangxi 　　LIANG Wei，MENG Lianxin 　　（Radiology Department，Affiliated Hospital of Youjiang Medical 　　University for Nationalities，Baise 533000，Guangxi，China） 　　【Abstract】ObjectiveTo explore the application effect of diversified health education for patients with diabetes mellitus in western Guangxi.Methods116 diabetic patients were randomly divided into observation group and control group with 58 cases in each group.The latter group were given conventional health education，while the former group were given diversified health education.Then，mastery of diabetic knowledge，improvement of patients’compliant behaviors，changes of fasting blood glucose and 2 h postprandial glucose（2 h PG） of the two groups were compared after the intervention.Results Difference of diabetic knowledge scores of the two groups was not statistically significant before intervention（P0.05），and they all improved in both groups after intervention （P0.05），but that of the observation group improved more significantly than that of the control group after intervention（P0.05）.After intervention，levels FPG and 2 h PG of both groups significantly decreased（P 　　【Key words】diabetes mellitus；health education mode；compliant behaviors；diversification；western Guangxi 　　糖尿病是一组由胰岛素分泌缺陷和/或胰岛素作用障碍所致的以高血糖为特征的代谢性疾病。持续高血糖与长期代谢紊乱等可导致全身组织器官，特别是眼、肾、心血管及神经系统的损害及功能障碍甚至衰竭。资料显示，我国糖尿病患者已超过9000万[1]，且流行病学呈现患病率、致残率、死亡率高，知晓率、治疗率、控制率低的特征[2]。患者个