糖尿病健康教育路径临床应用效果评价.docVIP

糖尿病健康教育路径临床应用效果评价 付阿丹 杨静 刘芹 【摘要】 目的 评价将临床路径引用到住院DM病人中进行健康教育的效果。 方法 将住院的679例2型DM病人随机分为观察组和对照组。对照组采用常规方法进行健康教育，观察组根据糖尿病健康教育路径表进行健康教育。通过监测血糖，应用DKT量表测定DM病人知识水平，DM自我管理量表测定评价自我管理水平，护理质量满意度问卷调查，护士对两种教育方法的认同感调查等比较各组病人教育前后的效果，以及两组间的效果。结果 观察组和对照组各组教育前后的血糖、DM知识水平、自我管理差异有统计学意义；观察组和对照组比较教育后的空腹血糖差异有统计学意义（P＜0.01），早餐后血糖差异有统计学意义（P＜0.05），DM知识水平、自我管理差异有统计学意义（p＜0.01），护理质量满意度比较差异有统计学意义（P＜0.05），护士对健康教育路径也有更高的认同感。结论 应用临床路径对住院的糖尿病人进行健康教育是一种切实可行的健康教育方式。 【关键词】 糖尿病 临床路径 健康教育 效果评价 Application and effect evaluation of clinical pathways in health education to diabetic inpatients Fu A-dan, Yang Jing, Liu Qin Department of Endocrinology, The Central Hospital of Wuhan affiliated to Tongji Medical College Huazhong University of Science and Technology, Wuhan, 430014 作者单位：430014，武汉市中心医院内分泌科 Abstract Objective: To evaluate the feasibility and effects of clinical pathways in health education to diabetic inpatients. Methods: Clinical pathways were performed in 679 type 2 diabetic inpatients, they were divided into observation group and control group randomly. The patients in the control group received health education with routine methods, while the patients in Health education pathway inventory was established for patients in the observation group. We compared the differences of blood glucose levels, knowledge of diabetes according to the DKT scale, self-management ability, satisfactory rate with nursing service and satisfactory rate of nurses, before and after the heath education, and the two groups. Results: The blood glucose levels, knowledge of diabetes and self-management ability had significantly improved after the heath education in both groups. The fasting blood glucose levels, the blood glucose levels after breakfast, knowledge of diabetes, self-management ability, satisfactory rate with nursing service and satisfactory rate of nurses has significantly improved in the observation group compared with the control group (p＜0.05). 作者单位：430014，武汉市中心医院内分泌科 Key words Diabetes mellitus, Cli