网络互动式健康教育对糖尿病患者自我管理的影响  

Effects of interaction network health education on the self-management in patients with diabetes mellitus

作　　者：孟萍[1] 吴建平[1] 王虹[1] 

机构地区：[1]哈尔滨医科大学附属第一医院内分泌一病房,150001

出　　处：《中华现代护理杂志》2014年第27期3457-3460,共4页Chinese Journal of Modern Nursing

摘　　要：目的：评价网络互动式健康教育对糖尿病患者自我管理水平的影响。方法选择2010年9月-2012年3月在某院内分泌科住院的糖尿病（ DM）患者140例，采用随机数字表法随机分为观察组和对照组各70例。对照组通过健康教育讲座进行患者教育；观察组除参加健康教育讲座外，每周采取网上互动方式，讲解和答疑患者遇到的问题。比较两组患者的自我管理水平、血糖控制情况及生活质量。结果出院6个月，观察组患者自我管理总分（89．35±15．21）分、运动依从性（77．42±17．15）分、药物依从性（98．73±15．81）分、足部护理（81．24±21．94）分，均高于对照组（80．23±12．37），（69．32±17.35），（92．31±16．78），（72．59±22．73）分，差异有统计学意义（t 值分别为3．892，2．778，2．014，13.301；P＜0．05）；观察组患者餐后2 h血糖2 h PPG（6．43±1．40）mmol/L，糖化血红蛋白HbA1c（7．02±1．10）％，均低于对照组（8．06±0．91）mmol/L，（8．29±1．04）％，差异有统计学意义（t值分别为8．167，7.019；P＜0．01）；观察组SF-36问卷中体能影响维度（57．2±21．7）分，一般健康（63．1±16．4）分，精神影响（67．1±23．5）分，心理健康（83．3±9．1）分，均高于对照组（49．7±23．2），（52．4±17．8），（59．9±26.4），（69．2±13．7）分，差异有统计学意义（t值分别为2．417，3．147，2．559，3．527；P＜0．05）。结论网络互动式健康教育在患者出院后，效果优于健康教育讲座，有利于巩固住院的健康教育效果。Objective To evaluate the effects of interaction network health education on the self-management in patients with diabetes mellitus .Methods A total of 140 diabetes patients were selected in our hospital from September 2010 to March 2012 , and were divided into observation group and control group through a random number table .Patients of control group received health education seminars .Except to education seminars, the patients in the observation group received real-time network interaction education once a week , with a total of 24 times.And the patients of two groups were assessed with the level of self-management , glycemic control level and the quality of life .Results Six months after discharge , the self-management score , the compliance of exercise , the compliance of medication and foot care were （ 89 .35 ±15 .21 ） , （ 77 .42 ± 17.15）,（98.73 ±15.81） and （81.24 ±21.94） in the observation group, which were significantly higher than the control group with （80.23 ±12.37）,（69.32 ±17.35）,（92.31 ±16.78） and （72.59 ±16.78） （t=3.892,2.77,2.014,13.301, respectively;P 〈0.05）.2 hour postprandial blood glucose and glycosylated hemoglobin level in the observation group were （6.43 ±1.40） mmol/L and （7.02 ±1.10）%, which were significantly lower than the control group with （8.06 ±0.91）mmol/L and （8.29 ±1.04）%（t=8.167,7.019, respectively;P〈0.01）.The scores of physical dimensions , general health, spiritual impact and mental health of the SF-36 questionnairein the observation group were （57.2 ±21.7）,（63.1 ±16.4）,（67.1 ±23.5） and （83.3 ±9.1）, respectively, which were significantly higher than the control group with （49.7 ±23.2）, （52.4 ±17.8）,（59.9 ±26.4） and （69.2 ±13.7） （t =2.417,3.147,2.559,3.527, respectively;P 〈0.05）.Conclusions Interactive network of health education is better than traditional health education seminars, and can help consolidate the effects of inpatient health education .

关 键 词：计算机通信网络 健康教育 糖尿病 自我管理 

分 类 号：R473.5[医药卫生—护理学]