中西医结合健康教育在糖尿病患者自我管理中作用  

Chinese and Western Medicine Health Education in Diabetes Self-Management

作　　者：吴海英[1] 林少娜[1] 陈清华[1] 

机构地区：[1]海南省农垦总医院内分泌科,海南海口570311

出　　处：《辽宁中医药大学学报》2014年第7期227-229,共3页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的:探讨中西医结合健康教育在糖尿病患者自我管理中的作用。方法:2012年1月—2013年6月,选取我科室2型糖尿病患者100例。比较健康教育前和健康教育后糖尿病患者自我照顾行为(遵医嘱用药、控制饮食、适度运动)。通过WHO生存质量简表(WHO QOL-BREF)来进行分析、评价。结果:中西医结合健康教育开展前,观察组患者能够遵医嘱用药的为70.0%,能够控制饮食的为52.0%,保持适度运动的为56%,与对照组(68.0%、54.0%、58.0%)相比,χ2分别为1.764、1.327、1.521,均P>0.05,差异均没有统计学意义。中西医结合健康教育开展后,观察组患者能够遵医嘱用药的为96.0%,能够控制饮食的为94.0%,保持适度运动的为96%,与对照组(70.0%、60.0%、62.0%)相比,χ2分别为5.474、6.597、5.043,均P<0.05,差异均有统计学意义。中西医结合教育开展后,观察组健康教育后较之前明显提高;而对照组无明显差异。两组在进行护理干预前,观察组生活质量各维度的评分分别为生理领域15.21±3.36,心理领域13.21±3.27,社会领域14.65±4.83,环境领域13.07±4.55,对照组4个领域的评分分别为14.88±3.17、13.21±3.92、14.32±4.28、13.33±3.29,两组t分别为1.24、1.32、1.56、1.54,两组比较均无统计学差异(P>0.05),无可比性。中西医结合健康教育开展后生活质量各维度的评分比较,观察组生活质量各维度的评分分别为生理领域19.87±6.59,心理领域18.28±5.32,社会领域18.17±4.06,环境领域18.75±5.38,对照组4个领域的评分分别为14.43±4.07、13.17±4.21、14.26±4.32、13.69±4.25,两组t分别为5.34、5.11、5.02、5.67,均具有统计学差异(P<0.05),具有可比性,即中西医结合健康教育后两组生活质量各维度比较,观察组较健康教育前干预前明显提高;而对照组无明显差异。结论:中西医结合健康教育能够有效帮助糖尿病患者提高糖尿病知识水平,严格控制血糖,改善糖尿病患者自我管理行�Objective ： To study the Chinese and western medicine health education on diabetes selfmanagement. Methods： Between January 2012 and June 2013,100 patients with type 2 diabetes in our department were selected. Before and after health education, diabetes self-care behaviors （ prescribed medication, diet, moderate exercise ） were compared. The WHO quality of life profiles （ WHO QOL- BREF ） was used for analysis and evaluation. Results ： Before traditional Chinese and western medicine health education in the observation group, the patients compliance was 70.0% ; 52.0% patients can control diet; 56% can maintain moderate exercise; compared with those of the control group （ 68.0%, 54.0%, 58.0% ）, chi square （ 1.764,1.327,1.764 ）, there were no statistically significant differences. After traditional Chinese and western medicine health education in observation group, the patients compliance was 96.0% ; 94.0% patients can control diet ; 96% can maintain moderate exercise ; compared with those of the control group （ 70.{）%, 60.0%, 62.0% ）, chi square （ 5.474,6.597,5.474 ）, the differences were statistically significant. After combined with education, the observation group obviously improved than before while the control group had no significant difference. Before nursing intervention, observation group＇s quality of life scores were respectively 15.21 ±3.36, 13.21 ±3.27,14.65 ±4.83, environment 13.07 ±4.55 and control group＇s were 14.88± 3.17,13.21 ±3.92,14.32 ±4.28,13.33 ±3.29, the two groups had no statistical difference （ P〉0.05 ）. After traditional Chinese and western medicine health education, observation group＇s quality of life scores were respectively 19.87 ±6.59,18.28 ±5.32,18.17 ± 4.06, 18.75± 5.38 and control group＇s were 14.43 ±4.07,13.17 ±4.21,14.26 ±4.32,13.69 ± 4.25, the two groups had statistical difference （ P〈0.05 ）. After traditional Chinese and western medicine health education, the quality of life observation group was more obviously i

关 键 词：健康教育 中西医结合 糖尿病患者 自我管理 

分 类 号：R587.1[医药卫生—内分泌]