健康教育对不同文化程度的社区2型糖尿病患者的干预效果评价.docVIP

·3633 · · 健 康 教 育 · 健康教育对不同文化程度的社区2型糖尿病患者的 干预效果评价 于海燕，徐军，杨华，王自明 【摘要】 目的 探讨对不同文化程度的社区2型糖尿病 (T2DM) 患者实施健康教育的有效性。方法 将来自 社区的150例T2DM 患者按照文化程度的高低分为三组，均对其进行健康教育及生活方式干预。两年后，对三组患者 的体质指数 (BMI)、 血压、血脂、空腹血糖、餐后2h 血糖、糖化血红蛋白 (HbA,。) 等改善情况进行比较。结果 初中及以下文化组仅在高密度脂蛋白及餐后2 h 血糖方面改善明显，差异有统计学意义 (P0.05), 其余指标改善情 况均无统计学意义 (P0.05); 高中/中专文化组除三酰甘油及高密度脂蛋白变化无统计学意义 (P0.05) 外，其余 指标间差异均有统计学意义 (P0.05); 大专及以上文化组的BMI、 血压、餐后2 h 血糖间差异有统计学意义 (P 0.05),血脂、空腹血糖、 HbA。 间差异均无统计学意义 (P0.05)。 结论 高中/中专文化组患者的健康教育效果最 好，其次为大专及以上文化组，初中及以下文化组的教育效果最不理想；但如给予更多指导仍能达到教育的目的，健 康教育是社区T2DM 患者行之有效的管理方法。 【关键词】 健康教育；糖尿病，2型；教育程度；效果评价 【中图分类号】 R587.1 【文献标识码】 A 【文章编号】 1007-9572(2011)11-3633-03 Effect of Health Education Intervention on Type 2 Diabetic Patients with Different Education Backgrouds in Community YU Hai-yan,XU Jun,YANG Hua, et al. Jiangtai Community Health Service Center of Chaoyang District,Beijing 100016, China 【Abstract] Objective To study the effectiveness of health education for type 2 diabetic(T2DM) patients with difermt education backgrounds. Methods In accordance with level of education, 150 patients with T2DM from the local communities were divided into three groups, and they were given health education and lifestyle intervention. After two years, the changes of body mass index(BMI), blood pressure,blood lipids, fasting blood glucose(FBG), 2-hour postprandial blood glucose (2 hPG),and glycosylated hemoglobin(HbA,s) between the three groups of patients were compared. Results Junior high school or below group only had statistically significant improvement in high -density lipoprotein and 2 hPG(P0.05),and no significant improvement in other indicators(P0.05). Senior high/secondary technical school group, except triglycerides and high - den- sity lipoprotein, had statistically significant changes in all other indicators(P0.05).College or higher education group had statistically significant improvement in BMI, blood pressure,and 2 hPG(P0.05),no statistically