行为改变联合传统健康教育在2型糖尿病合并脑梗死患者中的应用效果  

Effect of behavioral change combined with traditional healthy education in patients with type 2 diabetes mellitus complicated with cerebral infarction

作　　者：龙世燕[1] 李铭[1] 涂双燕[1] 杨蓉[1] LONG Shiyan;LI Ming;TU Shuangyan;YANG Rong(Department of Neurology,West China Hospital,West China School of Medicine Sichuan University,Sichuan Province,Chengdu 610041,China)

机构地区：[1]四川大学华西医院神经内科,四川成都610041

出　　处：《中国医药导报》2019年第4期173-176,181,共5页China Medical Herald

摘　　要：目的探讨行为改变联合传统健康教育在2型糖尿病合并脑梗死患者中的应用效果。方法回顾性分析四川大学华西医院2017年3月～2018年3月收治的100例2型糖尿病合并脑梗死患者的临床资料,依据护理模式不同分为两组,对照组(传统健康教育模式)50例和观察组(行为改变措施)50例。观察两组患者干预前后血糖控制知识评分、自我效能行为能力评分、空腹血糖、餐后2 h血糖、糖化血红蛋白水平、美国国立卫生研究院卒中量表(NIHSS)评分、日常生活能力量表(ADL)评分情况,观察两组患者满意度情况。结果两组患者干预前血糖控制知识评分、自我效能行为能力评分、空腹血糖、餐后2 h血糖和糖化血红蛋白水平、NIHSS评分、ADL评分比较,差异无统计学意义(P> 0.05),两组患者干预后血糖控制知识评分、自我效能行为能力评分、ADL评分均高于同组干预前,空腹血糖、餐后2 h血糖、糖化血红蛋白水平、NIHSS评分均低于同组干预前,且观察组患者干预后血糖控制知识评分、自我效能行为能力评分、ADL评分均高于对照组,空腹血糖、餐后2 h血糖、糖化血红蛋白水平、NIHSS评分均低于对照组,观察组患者满意度高于对照组,差异均有统计学意义(均P <0.05)。结论行为改变联合传统健康教育在2型糖尿病合并脑梗死患者中应用,可以提高患者血糖控制知识、自我效能,改善血糖水平,降低神经功能损伤,提高生活能力和满意度,值得临床推广应用。Objective To investigate the effect of behavioral change combined with traditional healthy education in patients with type 2 diabetes mellitus complicated with cerebral infarction.Methods Clinical data of 100 patients with type 2 diabetes mellitus complicated with cerebral infarction admitted to West China Hospital,West China School of Medicine Sichuan University from March 2017 to March 2018 were retrospectively analyzed.According to different nursing modes,they were divided into two groups,50 patients in the control group(traditional health education mode)and 50 patients in the observation group(behavior change measures).Blood glucose control knowledge score,self-efficacy behavior ability score,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin level,national institutes of health stroke scale(NIHSS)score and daily living ability scale(ADL)score before and after intervention were observed in the two groups,and patient satisfaction in the two groups was observed.Results Patients in the two groups were compared in pre-intervention glycemic control knowledge score,self-efficacy behavioral ability score,fasting blood glucose,postprandial 2 h blood glucose and hemoglobin level,NIHSS score and ADL score,there were no significant differences between the two groups(P >0.05).After intervention,the glycemic control knowledge score,self-efficacy behavior ability score and ADL score of patients in the two groups were all higher than those in the same group before intervention,and the fasting blood glucose,2 h postprandial blood glucose,hemoglobin level and NIHSS score were all lower than those in the same group before intervention.In addition,patients in the observation group were higher than those in the control group in terms of glycemic control knowledge score,self-efficacy behavior ability score and ADL score after intervention,fasting blood glucose,2 h postprandial blood glucose,hemoglobin level and NIHSS score,and the satisfaction of patients in the observation group was higher than that in t

关 键 词：行为改变 传统健康教育模式 2型糖尿病 脑梗死 

分 类 号：R587[医药卫生—内分泌]