回馈教学法对老年2型糖尿病患者胰岛素注射依从性的应用效果评价  

Evaluation of the Effect of Feedback Teaching Method on Insulin Injection Compliance of Elderly Patients with Type 2 Diabetes

作　　者：唐果[1] 邓娴[1] 方翠[1] Tang Guo;Deng Xian;Fang Cui(The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心,北京市100853

出　　处：《中国病案》2022年第1期110-112,共3页Chinese Medical Record

摘　　要：目的将回馈教学应用到老年2型糖尿病离退休老干部患者胰岛素注射教育中,探讨回馈教学法对其胰岛素注射依从性的影响。方法2019年4月1日-2020年7月31日在北京市某医院干部门诊采用随机数字表法选取2型糖尿病的离退休老干部200例,分为观察组100例和对照组100例。对照组给予常规的胰岛素注射教育,观察组在对照组基础上增加回馈教学法,2组患者均于健康教育后第12周门诊复查时采用自行设计的胰岛素注射依从性问卷测评胰岛素注射依从性,同时收集其血糖控制达标率,采用2样本均数t检验对其胰岛素注射依从性及血糖水平进行对比。结果2组胰岛素注射依从性比较,对照组依从性高者占73%,依从性中者占18%,依从性低者占9%,观察组依从性高者占87%,依从性中者占9%,依从性低者占4%,对照组胰岛素注射依从性低于于观察组,差异有统计学意义(P<0.05);2组血糖控制比较,对照组空腹血糖8.24±2.13,餐后2h血糖12.15±2.83,糖化血红蛋白9.18±2.14,观察组空腹血糖6.81±1.21,餐后2h血糖9.55±2.25,糖化血红蛋白7.12±1.36,观察组血糖控制达标率高于对照组,差异有统计学意义(P<0.001)。结论回馈教学法能提高2型糖尿病患者胰岛素注射依从性,稳定其血糖水平,是一种可以推广的有效健康教育方法。Objectives This paper applied feedback teaching method to insulin injection education of elderly patients with type 2 diabetes mellitus, and explored the influence of feedback teaching method on their insulin injection compliance. Methods From April 1 st, 2019 to July 31 st, 2020, 200 retired cadres with type 2 diabetes were selected by random number table method in cadre outpatient department of a hospital in Beijing, and divided into observation group(n = 100) and control group(n = 100). The control group received routine insulin injection education, and the observation group added feedback teaching method on the basis of the control group. The self-designed insulin injection compliance questionnaire was used to evaluate the insulin injection compliance of patients in both groups during the outpatient review at the 12 th week after health education, and the glucose control compliance rate was collected. Two sample mean t test was used to compare their insulin injection compliance and blood glucose level.Results The comparison of insulin injection compliance between the two groups showed that 73% of patients in the control group had high compliance, 18% of patients in the control group had low compliance, and 9% of patients in the observation group had high compliance, 9% of patients in the observation group had low compliance, and 87% of patients in the control group had high compliance, 9% of patients in the observation group had low compliance, and the difference was statistically significant(P<0.05). Comparison of blood glucose control between the two groups: fasting blood glucose 8.24±2.13, postprandial 2 h blood glucose 12.15±2.83, hba1 c 9.18±2.14 in the control group,fasting blood glucose 6.81±1.21, postprandial 2 h blood glucose 9.55±2.25, hba1 C 7.12±1.36 in the observation group, Observation group was higher than control group, the difference was statistically significant(P<0.001).Conclusions Feedback teaching could improve insulin injection compliance of type 2 diabetes patients and stabilize t

关 键 词：回馈教学法 2型糖尿病 胰岛素注射依从性 影响因素 

分 类 号：R473.5[医药卫生—护理学]