全程糖尿病健康教育模式的建立与实践  

Establishing and applying a model of diabetes health education

作　　者：范丽凤[1] 潘长玉[1] 田慧[1] 陆菊明[1] 张小群[1] 陶旭[1] 侯惠茹[1] 安婧[1] 

机构地区：[1]北京市中国人民解放军总医院糖尿病教育中心,100853

出　　处：《中华护理杂志》2001年第4期249-252,共4页Chinese Journal of Nursing

基　　金：军队"九五"科研基金资助!("九五"Z0 0 5 1号 )

摘　　要：目的 :建立糖尿病 (DM)患者的门诊 -住院 -出院后全程健康教育模式 ,评价其实施效果。方法 :①门诊教育 :集体授课与讨论形式相结合 ;②住院教育 :以集体上课为主 ,与床旁单人指导和看书自学相结合 ;③出院后教育 :以热线咨询电话方式 ,为出院的DM患者提供教育咨询服务。结果 :3年多来门诊教育组织讲座 36次 ,听课人数达 86 8人次 ,笔试成绩平均 72 .4分 ,及格率 86 .3%。住院患者在教育前DM知识测试的优良率为 2 4.2 % ,而教育培训后达到 82 .9% (P <0 .0 0 1)。培训后患者进行自我血糖、尿糖监测人数 ,自我足部检查护理人数均明显增多 (P <0 .0 1)。患者出院后电话咨询中有 5 1.1%的问题涉及DM的治疗 ,有 2 0 .7%的患者咨询关于DM并发症的防治知识 ,主动寻求帮助、指导。结论 :门诊教育课程的设置为患者提供了系统学习DM知识的课堂 ;住院教育是患者短期内系统学习、强化DM知识 ,提高自我管理能力的重要时机 ;热线电话咨询服务是对出院后及门诊的DM患者居家继续进行合理治疗。Objective:To establish, apply and evaluate a model of diabetes health education.Methods:We established groups for diabetes education located in two special diabetes classrooms.Outpatient education induded lectures and discussions.Inpatient education included group education,individual education and self education.Post hospital education included consulting on line.Results:We organized 36 lectures,and there were 868 paticipants.The average knowledge test score was 74.4,and the pass rate was 86.3% among the outpatients.Among hospitalized patients,82.9% achieved excellent scores after education, compared with 24.2% before education( P <0.001)。Knowledge on self care skills such as self monitoring of blood glucose,urine glucose and foot care,were improved ( P <0.01).Consulting on line:51.1% of patients' questions were related to the treatments of diabetes,and 20.7% of patients consulted on the prevention and treatment of diabetes complications.It showed that we should pay more attention to these contents in diabetes education.Conclusion:Outpatient education courses provided a place of learning for diabetic knowledge for patients with diabetes.Inpatient education was a good chance for learning diabetes the diabetic knowledge and improving the ability of self management.Consulting on line was a convenient way of giving treatment and nursing to post hospital patients with diabetes.

关 键 词：糖尿病 健康教育模式 糖尿病教育 

分 类 号：R587.1[医药卫生—内分泌] R473.5[医药卫生—内科学]