糖尿病并发症体验式健康教育的效果研究  

The effects of group experiential education in patients with diabetes based on screening for diabetic complications

作　　者：赵丽华[1] 钱莉 王丽华[2] 任丽[1] 张宇[1] 谢菊美[1] 刘经纬[2] 

机构地区：[1]南通市第一人民医院内分泌科,226001 [2]南通市第一人民医院护理部,226001

出　　处：《中华护理杂志》2018年第1期36-40,共5页Chinese Journal of Nursing

基　　金：南通市社会事业科技创新与示范计划项目(HS149010)

摘　　要：目的探讨糖尿病并发症体验式健康教育对糖尿病患者血糖控制、自我管理行为的影响。方法便利抽取2016年1月—8月在我院内分泌科住院的2型糖尿病患者134例作为研究对象,随机分为试验组68例和对照组66例,试验组接受常规健康教育和糖尿病并发症体验式健康教育,对照组接受常规健康教育,比较两组干预前后血糖控制及自我管理行为的差异。结果校正了年龄、性别、糖尿病病程、血压、血脂、文化程度、对应干预指标干预前的基线,试验组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白、自我管理行为的改善程度均优于对照组(P<0.05),差异有统计学意义。结论糖尿病并发症体验式健康教育明显改善了糖尿病患者的自我管理行为,优化了糖尿病患者的血糖控制结果。Objective To investigate the effects of group experiential education on glycemic control and self-care activities in patients with diabetes based on screening tor diabetic complications. Methods Using convenience sam- piing,totally 134 patients with type 2 diabetes admitted to our department of endocrinology were randomly divided into the intervention group（n=68） and the control group（n=66） from Janual~ to August,2016. The control group received regular education on diabetic complications,while the intervention group received group experiential educa- tion via diabetic complications-simulated experience tools on the basis of regular education. Differences in glycemic control and self-care activities between two groups before and ＇after intervention were compared. Results After adjusting for age,sex,diabetic duration,blood pl^ssure,hypoglycemic treatments,lipids profiles,educational level,and diabetic complications and indices before interventions,improvements of fasting plasma glucose（FPG）,2 h postprandial plasma glucose（PPG）,haemoglobin A lc（HbAlc）,and self-care activities in the intervention group were much higher than those in the control group after intervention,and the differences were statistically significant（P〈0.02）. Conclusion The group experiential education based on screening for diabetic complications can significantly increase self-care activities and improve glycemic control in patients with diabetes.

关 键 词：糖尿病并发症 健康教育 自我管理行为 血糖控制 糖化血红蛋白 2型糖尿病 糖尿病病程 对照组 

分 类 号：R473.5[医药卫生—护理学]