以家庭为单位的健康教育模式对糖尿病院外口服药物治疗患者的干预效果研究  

Study of Intervention Effect of Family Based Health Education Model on Patients With Diabetes Mellitus in External Oral Drug Therapy

作　　者：欧敏[1] 张左 邓才萍 吴群[1] 龙崇荣[1] 

机构地区：[1]重庆市沙坪坝区人民医院,重庆400030

出　　处：《现代医院》2016年第10期1555-1557,1560,共4页Modern Hospitals

基　　金：重庆市卫生局医学科研计划项目(编号:20142163)

摘　　要：目的观察以家庭为单位的健康教育模式对糖尿病院外口服药物治疗患者的干预效果。方法 80例2型糖尿病患者根据数字表法随机分为2组,对照组(n=40例)采用传统式健康教育,观察组(n=40例)采用以家庭为单位的健康教育模式。比较两组干预前后糖尿病相关知识知晓情况,比较两组干预后遵医行为,比较两组干预前后BMI、空腹血糖水平(FPG)、餐后2h血糖(2h PG)、糖化血糖蛋白(Hb Alc)、三酰甘油(TC)、总胆固醇(TG)等指标变化。结果两组干预后临床症状、预防措施、糖尿病管理理念、控制措施、并发症、预防并发症措施等糖尿病相关知识知晓率较干预前明显升高(P<0.05),且观察组升高较对照组更为显著(P<0.05);观察组干预后按时服药、低盐饮食、低油饮食、适量运动、合理控制饮食及自我血糖监测等遵医行为明显优于对照组(P<0.05);两组干预后FPG、2h PG、Hb Alc、TC、TG等指标较干预前均明显降低(P<0.05),且观察组降低较对照组更为显著(P<0.05),而BMI指数干预前后比较无显著差异性(P>0.05)。结论以家庭为单位的健康教育模式可明显提高糖尿病院外口服药物治疗患者的糖尿病相关知识知晓率、遵医行为,并改善相关临床指标。Objective To observe the intervention effect of family based health education model on the patients with diabetes mellitus in external oral drug therapy. Methods 80 patients with type 2 diabetes were randomly divided into 2groups according to the number table method. The control group（ n = 40 cases） was taken with the traditional health education,and the observation group（ n = 40 cases） was taken with the family based health education model. The knowledge awareness related to diabetes of the two groups before and after the intervention was compared. The compliance behavior of the two groups after the intervention were compared,and the index changes of BMI,the levels of fasting blood glucose（ FPG）,postprandial 2H plasma glucose（ 2h PG）,Hb A1c（ Hb Alc）,3 acyl glycerine（ TC）,total cholesterol（ TG） of the two groups before and after the intervention were compared. Results The knowledge awareness related to diabetes such as clinical symptoms,prevention,diabetes management,control measures,complications,prevention of complications of two groups after the intervention were significantly increased than that of before the intervention（ P〈0.05）,and the observation group increased more significantly than that of the control group（ P〈0.05）. The compliance behavior such as take medicine on time,low salt diet,low fat diet,moderate exercise,reasonable diet control and self blood glucose monitoring after the intervention of the observation group was significantly better than that of the control group（ P〈0.05）. The 2h PG,FPG,Hb Alc,TC,TG of the two groups after the intervention were significantly lower than those of before intervention（ P〈0.05）,and the observation group decreased more significantly than control group（ P〈0.05）. There was no significant difference about BMI index before and after the intervention（ P〉0.05）. Conclusion The family based health education model can significantly improve the awareness rate of diabetes related knowledge,compliance behavior,an

关 键 词：糖尿病 家庭 健康教育模式 

分 类 号：R193.2[医药卫生—卫生事业管理]