立体化结构式糖尿病教育的构建及效果评价  

Establishment and evaIuation of three -dimensional structural diaetes education on type 2 diabetes

作　　者：魏华伟[1] 

机构地区：[1]山东省枣庄市立医院内分泌科,277102

出　　处：《国际护理学杂志》2008年第11期1137-1141,共5页international journal of nursing

摘　　要：目的探讨立体化结构式教育对2型糖尿病患者干预效应及有效方法。方法随机将86例2型糖尿病患者分为2组：对照组和干预组。对照组：自学糖尿病知识，观察随访1年；干预组：以改变知、信、行为目的，运用集体授课、网上咨询、定期家访3种方式，实施教育、监测、保健三位一体的立体化结构式糖尿病教育，制定个体化食谱及运动方案，进行心理、行为干预，为期2w。由专职糖尿病护士负责指导，观察随访1年。每6个月复查1次体重、血压、腰围、臀围、空腹血糖、餐后2h血糖、糖化血红蛋白、血脂。结果干预后糖尿病知识及格率达90．7％，体质指数、腰臀比、空腹血糖、餐后2h血糖、糖化血红蛋白、收缩压、甘油三酯明显下降。结论立体化结构式教育能提高2型糖尿病患者自我管理能力，对2型糖尿病患者实施立体化结构式糖尿病教育是必要的、可行的、有效的，有助于控制糖尿病。Objective To investigate the intervention effect of three -dimensional structural diabetes education on type 2 diabetes patients. Methods Eighty - six patients with type 2 diabetes were divided into intervention group （n =43） and control group （n =43） randomly. For control group, subjects only self studied diabetes knowledge. In the intervention group, changing the knowledge, attitude and practices regarding diabetes mellitus as purpose, structural diabetes education with three - in - one care including education, monitoring and health care was given through three modes of collective teaching, on -line consultation and home visit regularly by full - time diabetes education nurses. At the same time psychological and behavior intervention were given for 2 weeks. The two groups were followed up for 1 year. All subjects were tested diabetic education knowledge and measured weight, blood pressure, waist circumference and hip circumference, fasting plasma glucose （FPG）, 2 h postprandial plasma glucose （2hPG）, hemoglobin Ale, （HbAle） and blood lipid every 6 months. Results Pass ratio of knowledge on DM was 90. 7% in the intervention group after intervention BMI, WHR, FPG, 2hPG, HbAlc, systolic blood pressure （SBP）, triglyceride （TG） were obviously decreased in the intervention group. Conclusion Three - dimensional structural diabetes education can increase self - management ability of type 2 diabetes patients. Three - dimensional structural diabetes education on type 2 diabetes patients is necessary, feasible and effective. It is helpful for patients with type 2 diabetes to control diabetes.

关 键 词：糖尿病 疾病管理 结构式教育 个体化干预 

分 类 号：R473[医药卫生—护理学]