个性化健康教育对2型糖尿病患者自我管理行为及血糖控制效果的影响

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个性化健康教育对2型糖尿病患者自我管理行为及血糖控制效果的影响

孙晓敏汪虹许方蕾宋立源

同济大学附属同济医院护理部

出版日期:2015-02-25 发布日期:2015-02-25

Effect of individualized health education on self-management behavior and glycemic control for patients with type 2 diabetes

Online:2015-02-25 Published:2015-02-25

摘要/Abstract

摘要： 目的：探讨个性化健康教育对2 型糖尿病患者自我管理行为及血糖控制效果的影响。方法：本研究为随机对照试验，采用便利抽样的方法选取在我院糖尿病专科门诊建立档案的2 型糖尿病患者80 例为研究对象，将其随机分为干预组和对照组，每组40 例。对照组患者给予一般的护理干预，干预组患者采取个性化健康教育。干预前及干预10 个月后，分别评估两组患者的自我管理行为及空腹血糖、糖化血红蛋白值。结果：干预10 个月后，干预组患者自我管理行为各项得分均优于对照组，差异均有统计学意义（P<0.05）；干预组患者的空腹血糖、糖化血红蛋白值指标也均较入组时下降，血糖值控制改善，与对照组各对应值比较，差异均有统计学意义（P <0.05）。结论：个性化健康教育能够提升2 型糖尿病患者的自我管理行为及改善患者的血糖控制，提高患者的生活质量，是一种有效的糖尿病患者管理方法。

Abstract: Objective: To explore the influence of individualized health education on self-management behavior and glycemic control for patients with type 2 diabetes.Methods: Eighty patients with type 2 diabetes who had built archives in diabetes clinic were randomly assigned to the intervention group (n=40) and the control group (n=40). Normal nursing interventions were given to the two groups, meanwhile the individualized health education was given to the intervention group. Self-management behavior,fasting blood-glucose and glycosylated hemoglobin were used to assess the effect of health education in two groups. Result: Ten months after intervention, the scores of the intervention group on self-management behavior were significantly higher than the control group (P<0.05). The scores of the intervention of fasting blood-glucose and glycosylated hemoglobin were lower than the control group (P<0.05). Conclusion: The individualized health education can improve the self-management behavior,glycemic control and the quality of life amog patients with type 2 diabetes.

孙晓敏汪虹许方蕾宋立源. 个性化健康教育对2型糖尿病患者自我管理行为及血糖控制效果的影响[J]. , 2015, 15(2): 179-182.