PBL联合CBL模式在2型糖尿病患者胰岛素注射健康教育中的应用  

Effects of PBL combined with CBL in health education of insulin injection for patients with type 2 diabetes mellitus

作　　者：何京京[1] 黄黎霞 王玉萍[1] 张红丽 He Jingjing;Huang Lixia;Wang Yuping;Zhang Hongli(Endocrinology Department,Yiwu Central Hospital,Jinhua 322000,China;Department of Obstetrics,Yiwu Central Hospital,Jinhua 322000,China)

机构地区：[1]义乌市中心医院内分泌科,金华322000 [2]义乌市中心医院产科,金华322000

出　　处：《中华现代护理杂志》2024年第4期521-526,共6页Chinese Journal of Modern Nursing

基　　金：义乌市2022年第一批科研计划项目(22-3-34)。

摘　　要：目的探讨以问题为基础的教学(PBL)联合以案例为基础的教学(CBL)模式在2型糖尿病(T2DM)胰岛素注射患者中的应用效果。方法采用便利抽样法, 选择2022年8—10月义乌市中心医院内分泌科收治的120例胰岛素注射治疗T2DM患者为研究对象, 依据入院时间分为对照组和干预组, 各60例。2022年8月1—31日入院的60例患者为对照组, 接受常规健康宣教;2022年10月1—31日入院的60例患者为干预组, 接受PBL联合CBL教学模式教学。分析并比较两组患者干预后胰岛素注射相关知识知晓率、考核评分, 统计考核评分合格率及改善率;干预3个月后, 评估患者血糖控制情况[空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(HbA1c)], 统计胰岛素注射相关并发症发生率。结果干预4周后, 干预组患者的胰岛素注射相关知识整体知晓率高于对照组, 差异有统计学意义(P<0.05);干预组患者的胰岛素注射考核评分(90.35±4.68)分、考核评分合格率91.67%、考核评分改善率(35.48±6.84)%, 高于对照组的(84.69±6.72)分、75.00%、(26.28±5.46)%, 差异均有统计学意义(P均<0.05)。干预3个月后, 干预组患者的FPG、2hPG、HbA1c均低于对照组, 差异有统计学意义(P<0.05)。干预后3个月内, 干预组并发症总发生率低于对照组, 差异均有统计学意义(P<0.05)。结论 PBL联合CBL的教学模式用于胰岛素注射患者, 有助于提高患者胰岛素注射知识及操作水平, 改善血糖控制, 降低胰岛素注射相关并发症发生率。Objective To explore the effect of problem-based learning(PBL)combined with case-based learning(CBL)in insulin injection patients with type 2 diabetes mellitus(T2DM).Methods From August to October 2022,convenience sampling was used to select 120 patients with T2DM treated with insulin injection from the Endocrinology Department of Yiwu Central Hospital as the study subject.According to the admission time,patients were divided into a control group and an intervention group,with 60 cases each.The 60 patients admitted from August 1st to 31st were in the control group and received routine health education,and 60 patients admitted from October 1st to 31st were included in the intervention group and received PBL combined with CBL.This study analyzed and compared the awareness rate of insulin injection knowledge and assessment scores of insulin injection between two groups of patients,and counted the passing rate and improvement rate of assessment scores after intervention.Before and after three months of intervention,this study evaluated the patient's blood glucose status[fasting blood glucose(FPG),2-hour postprandial blood glucose(2hPG),and glycated hemoglobin(HbA1c)],and counted the incidence of insulin injection related complications.Results After four weeks of intervention,the overall awareness rate of insulin injection knowledge in the intervention group was higher than that in the control group,with a statistically significant difference(P<0.05).The insulin injection assessment score(90.35±4.68),passing rate of assessment score 91.67%,and improvement rate of assessment score(35.48±6.84)%in the intervention group were higher than those[(84.69±6.72),75.00%,and(26.28±5.46)%]in the control group,and the differences were statistical(P<0.05).After three months of intervention,the FPG,2hPG,and HbA1c of the intervention group patients were lower than those of the control group,with statistically significant differences(P<0.05).Within three months after intervention,the total incidence of complications in the interven

关 键 词：教学模式 糖尿病 2型 胰岛素 健康教育 

分 类 号：R473.5[医药卫生—护理学]