“家庭树”教育模式对贵州省2型糖尿病患者家族成员治疗依从性的影响  

Effect of“family tree”educational mode on compliance of family members with type 2 diabetes mellitus patients in Guizhou Province

作　　者：于结 杨平[2] 谢文娅[3] 蒋成燕[3] 李金蝶 翁悦 YU Jie;YANG Ping;XIE Wenya;JIANG Chengyan;LI Jindie;WENG Yue(Clinic of Nursing,the First People’s Hospital of Zunyi,Guizhou Province,Zunyi563000,China;Department of Nursing,the First People’s Hospital of Zunyi,Guizhou Province,Zunyi563000,China;Department of Endocrinology,the First People’s Hospital of Zunyi,Guizhou Province,Zunyi563000,China)

机构地区：[1]贵州省遵义市第一人民医院护理门诊,贵州遵义563000 [2]贵州省遵义市第一人民医院护理部,贵州遵义563000 [3]贵州省遵义市第一人民医院内分泌科,贵州遵义563000

出　　处：《中国医药导报》2021年第10期176-179,188,共5页China Medical Herald

基　　金：贵州省卫计委科研计划项目(gzwjkj2018-1-084)。

摘　　要：目的建立以糖尿病患者家庭为整体的新型糖尿病教育模式,探讨其对2型糖尿病患者治疗依从性的影响。方法选取2017年1月—2018年10月贵州省遵义市第一人民医院收治的160例2型糖尿病患者作为研究对象,按随机数表法分为对照组和试验组,每组各80例。对照组采用常规健康教育,试验组在对照组的基础上采用“家庭树”教育模式。观察两组患者干预后的依从性、生化指标、家族糖尿病患病率、低血糖发生率及再次住院率的差异。结果干预后,两组患者的依从性均有提高,试验组患者干预后的依从性高于对照组,差异有统计学意义(P<0.05)。两组患者干预后空腹血糖(FBG)、餐后2 h血糖(2hPBG)及糖化血红蛋白(HbA1c)水平均低于干预前,差异均有统计学意义(均P<0.05);试验组患者FBG、2hPBG及HbA1c水平均低于对照组,差异均有统计学意义(均P<0.05)。试验组患者干预后家庭患病率、低血糖发生率及再次住院率均低于对照组,差异均有统计学意义(均P<0.05)。试验组患者家庭健康教育知识知晓率、家庭成员健康行为督导率、家庭成员并发症有效预警率高于对照组,差异均有统计学意义(均P<0.05)。结论“家庭树”教育模式能改善2型糖尿病患者自我管理行为,提高患者治疗依从性。Objective To establish a new diabetes education model with diabetic families as the whole,and to explore its impact on the treatment compliance of type 2 diabetic patients.Methods A total of 160 patients with type 2 diabetes who were admitted to the First People’s Hospital of Zunyi from January 2017 to October 2018 were selected as the research objects.They were divided into control group and experimental group according to the random number table method,with 80 cases in each group.The control group adopts regular health education,and the experimental group adopts the“family tree”education model on the basis of the control group.The differences in compliance,biochemical indicators,family diabetes prevalence,hypoglycemia incidence,and rehospitalization rates between the two groups after intervention were observed.Results After the intervention,the compliance of patients of the two groups improved,while the compliance of the experimental group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).The levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2hPBG)and glycosylated hemoglobin(HbA1c)after intervention in the two groups were all lower than before intervention,and the differences were statistically significant(all P<0.05);in the experimental group,the levels of FBG,2hPBG and HbA1c were all lower than the control group,and the differences were statistically significant(all P<0.05).The family prevalence,hypoglycemia incidence,and rehospitalization rate of patients in the experimental group after intervention were lower than those in the control group,and the differences were all statistically significant(all P<0.05).The awareness rate of family health education knowledge,family members’health behavior supervision rate,and effective early warning rate of family members’complications in the experimental group were higher than those in the control group,and the differences were all statistically significant(all P<0.05).Conclu

关 键 词：糖尿病 “家庭树”教育模式 依从性 健康教育 

分 类 号：R587.1[医药卫生—内分泌]