家庭健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响  

Effect of family health education on treatment compliance in insulin-treated diabetic patients

作　　者：周先利[1] 宋彩萍[2] 赵欢[1] 湛又菁[1] 涂静秋[1] 周厚地[1] 

机构地区：[1]第三军医大学新桥医院内分泌科,重庆400037 [2]第三军医大学新桥医院护理部,重庆400037

出　　处：《第三军医大学学报》2016年第19期2195-2198,共4页Journal of Third Military Medical University

摘　　要：目的探讨以家庭为单位的健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响。方法选取2013年7-12月本院内分泌科收治需长期院外胰岛素治疗的糖尿病患者120例。按随机化分组表分为对照组[n=60,男性38例,女性22例,年龄(58.93±14.15)岁,病程(7.82±5.62)年,采用针对患者本人的传统健康教育模式]和试验组[n=60,男性36例,女性24例,年龄(60.03±12.17)岁,病程(8.13±6.08)年,采用以家庭为单位的健康教育模式]。研究随访时间1年,对两组患者及家庭单位成员糖尿病院外胰岛素治疗相关知识的知晓率、患者治疗的依从性及家属在提高患者依从性中发挥的作用、患者空腹血糖、餐后2 h血糖、糖化血红蛋白、尿微量蛋白等进行比较。结果两组患者及家属糖尿病院外胰岛素治疗相关知识的知晓率(95.87%vs 81.26%,88.57%vs 31.86%)、患者糖尿病院外胰岛素治疗的依从性(88.33%vs 38.33%)、家属对患者依从性的影响(96.33%vs 28.33%)、空腹血糖、餐后2 h血糖、糖化血红蛋白[(6.27±1.35)%vs(6.86±1.24)%]、尿微量蛋白[(16.72±3.98)vs(24.62±5.05)mg/d L]等比较,试验组均显著优于对照组(P<0.01)。结论基于以家庭为单位的健康教育模式能显著提高患者及家属(以一级亲属为主)糖尿病院外胰岛素治疗相关知识的知晓率,患者在家属的帮助下治疗依从性显著提高,从而提高院外胰岛素疗效(尤长期疗效)。Objective To determine the effect of taking family as an treatment compliance for external insulin therapy for diabetes mellitus. Methods in health education on the A total of 120 diabetic patients treated who admitted in our hospital between July and December 2013 and need long-term insulin therapy outside the hospital were enrolled in the trial. All the patients were randomly divided into 2 groups, the control group （ group C, n = 60, 38 males and 22 females, at a mean age of 58.93 ± 14. 15, with a disease duration of 7.82±5.62 years） and the test group （group T, n =60, 36 males and 24 females, at a mean age of 60.03 ± 12.17, with a disease duration of 8.13 ±6.08 years）. Traditional health education was given to the patients from the group C. The patients of the group T were given the health education by taking family as an unit. The follow-up duration was 1 year. In the process, the awareness rate of external insulin therapy, treatment compliance, and the role of the family member in improving the compliance were collected and analyzed between the 2 groups. The indicators of fasting blood glucose （ FPG）, 2-hour postprandial blood glucose （2hPBG）, glycosylated hemoglobin （HbAlc） and urinary microalbumin （mAlb） were measured and compared between the 2 groups. Results The awareness rate of external insulin therapy were better in the patients and family members between the group T and group C （95.87% vs 81.26%, 88.57% vs 31.86%, P 〈0.01）. The treatment compliance （88.33% vs 38.33% ） and role of family members in improving the compliance （96.33% vs 28.33% ） were higher in the former than the latter groups （P 〈0.01 ）. The abovementioned indicators were also better [HbAlc： （6.27 ±1.35）% vs （6.86 ±1.24）% ; mAlb： （16.72±3.98） vs （24.62 ±5.05） mg/dL, P 〈 0.01 1. Gonelusion Health education of taking family （mainly to the first degree relatives） as an unit significantly improves the awareness rate of external insulin therapy in the diabetic pa

关 键 词：糖尿病 院外胰岛素治疗 健康教育 依从性 

分 类 号：R473.2[医药卫生—护理学] R587.1[医药卫生—临床医学]