目视化健康教育模式对2型糖尿病患者的影响  

Effects of Visual Health Education Model on Patients with Type 2 Diabetes

作　　者：严红琴[1] 于美[1] 刘莉[1] 夏丽君[1] Yan Hongqin;Yu Mei;Liu Li(People′s Hospital of JingJiang,JingJiang Jiangsu 214500,China)

机构地区：[1]靖江市人民医院,江苏靖江214500

出　　处：《齐鲁护理杂志》2020年第11期34-37,共4页Journal of Qilu Nursing

摘　　要：目的:探讨目视化健康教育模式对2型糖尿病(T2DM)患者的影响。方法:将2019年1月1日~6月30日接受治疗的T2DM患者80例按照随机编号法分为对照组和观察组各40例,对照组给予常规健康教育,观察组给予目视化健康教育模式;比较两组干预前后T2DM知晓情况、血糖指标[包括空腹血糖(FBG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)]、自我效能感[采用糖尿病管理自我效能量表(DMSES)]、心理痛苦情况。结果:干预后,两组对T2DM诊断方法、治疗方法、危险因素、预防知识的知晓情况均优于干预前(P<0.05),且观察组均优于对照组(P<0.01);干预后,两组FBG、2 h PBG、HbA1c均低于干预前(P<0.05),且观察组均低于对照组(P<0.01,P<0.05);干预后,观察组DMSES中饮食控制、锻炼、自我检测、医疗评分及总分均高于对照组(P<0.05,P<0.01);干预后,两组情感负担、生活规律相关痛苦、人际关系相关痛苦、医生相关痛苦评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.01)。结论:目视化健康教育模式可提高患者对糖尿病知识的知晓率,改善血糖紊乱症状,提升自我效能感,缓解患者焦虑、抑郁状况,值得临床推广。Objective:To investigate the effect of visual health education model on patients with type 2 diabetes mellitus(T2DM).Methods:A total of 80 patients with T2DM who received treatment from January 1 to June 30,2019 were randomly numbered into control group and observation group with 40 patients in each group.The control group was given regular health education,and the observation group was given visual health education.Before and after intervention,T2DM awareness,blood glucose index[including fasting blood glucose(FBG),2 h postmeal blood glucose(2 h PBG)glycosylated hemoglobin(HbA1c)],self-efficacy[diabetes management self-efficacy scale(DMSES)],and psychological distress were compared between the two groups.Results:After intervention,the knowledge of diagnosis,treatment,risk factors and prevention of T2DM in both groups was better than before intervention(P<0.05),and the observation group was better than the control group(P<0.01).After intervention,FBG,2 h PBG and HbA1c in both groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.01,P<0.05).After intervention,diet control,exercise,self-test,medical score and total score in DMSES in the observation group were all higher than those in the control group(P<0.05,P<0.01).After intervention,scores of emotional burden,life-related pain,interpersonal-related pain and physician-related pain in the two groups were all lower than those in the control group(P<0.05),and those in the observation group were all lower than those in the control group(P<0.01).Conclusion:Visual health education model can improve the awareness rate of patients on diabetes knowledge,improve the symptoms of blood glucose disorder,improve the sense of self-efficacy,and relieve the anxiety and depression of patients.It is worthy of clinical promotion.

关 键 词：2型糖尿病 目视化健康教育模式 自我效能感 心理痛苦 

分 类 号：R473.58[医药卫生—护理学]