糖尿病教育护理师对糖尿病患者健康教育效果的影响  

Influence of diabetes educators in diabetic patients＇ health education

作　　者：张爱军[1] 马宗娟[2] 高茂龙[3] 

机构地区：[1]北京老年医院内分泌科,100095 [2]北京老年医院急诊科,100095 [3]北京老年医院老年研究所,100095

出　　处：《中华现代护理杂志》2013年第1期40-43,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨糖尿病教育护理师在糖尿病患者健康教育过程中的重要作用。方法由糖尿病教育护理师对73例糖尿病患者进行糖尿病健康教育，采用自行设计的问卷调查表在教育前及教育后对患者进行评估，比较教育前后患者糖尿病知识知晓率情况。结果健康教育后，73例糖尿病患者对总热量、主食量、副食量、油量、蔬菜量、吃水果时间的饮食知识知晓率分别为90．4％，97．3％，98．6％，98．6％，98．6％，95．9％，均显著高于教育前的26．0％，78．1％，68．5％，42．5％，58．9％，71．2％，差异均有统计学意义（X2分别为43．31，12．25，20．17，39．09，29．12，14．73；P〈0．01）；糖尿病健康教育后患者对胰岛素种类的知识知晓率为64．4％，显著高于教育前的45．2％，差异有统计学意义（x2=10．29，P〈0．01）；教育后患者记录监测日记、记录特殊事件、每周测血压、每3个月复查HbA1C、定期检查眼底、定期检查血脂及肝肾功能的自我监测知晓率分别为91．8％，98．6％，98．6％，98．6％，98．6％，98．6％，均显著高于教育前的32．9％，24．7％，46．6％，39．7％，50．7％，54．8％，差异均有统计学意义（x2分别为39．34，52．07，36．10，41．09，33．11，30．11；P〈0．01）。结论糖尿病教育护理师在糖尿病教育中对糖尿病患者的知识水平提高具有重要作用。Objective To investigate the important role of diabetes educators in diabetic patients＇ health education process. Methods A total of 73 diabetic patients were evaluated by the same self-designed questionnaire before and after health education by diabetes educators, and the results were compared. Results After health education, the rate of 73 diabetic patients＇ diet knowledge including total calorie, amount of staple food, non-staple food, oil, vegetable and fruit were respectively 90.4%, 97.3%, 98.6%, 98.6%, 98.6% and 95.9%, all of which were higher than those before health education （26.0% ,78.1% ,68.5% ,42.5% ,58.9% and 71.2% ）, and the differences were statistically significant （ X2 = 43.31, 12.25, 20.17, 39.09, 29.12, 14.73, respectively ; P 〈 0.01 ）. After the diabetes health education, the rate of 73 diabetic patients＇ insulin types knowledge was 64.4%, was higher than this before health education （ 45. 2% ）, the difference was statistically significant （ Xz = 10.29, P 〈 0. 01 ）. The rate of patients＇ self-monitoring behaviors including keeping a diary, recording special events, measuring blood pressure weekly, testing HbA1 c every three months, doing fundus examination at regular intervals and inspecting blood fat, liver and kidney function regularly after health education were respectively 91.8%, 98.6%, 98.6%, 98.6%, 98.6% and 98.6%, obviously higher than those before education （32. 9%, 24. 7%, 46. 6%, 39. 7%, 50. 7% and 54. 8% ）, and the differences were statistically significant （X2 = 39.34, 52.07, 36.10,41.09, 33.11, 30.11, respectively; P 〈 0.01 ）. Conclusions The diabetes educators play an important role in improving diabetes patients＇ level of healthy knowledge.

关 键 词：糖尿病 健康教育 糖尿病教育护理师 知晓率 

分 类 号：R473.5[医药卫生—护理学]