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作 者:徐子清 陈银峰 苏雪清 XU Ziqing;CHEN Yinfeng;SU Xueqing(The First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)
出 处:《中外医疗》2024年第6期144-147,163,共5页China & Foreign Medical Treatment
摘 要:目的分析基于看图对话工具的健康教育在2型糖尿病(Diabetes Mellitus Type 2,T_(2)DM)患者中的应用效果。方法随机选取2021年1月—2022年12月厦门大学附属第一医院收治的120例T_(2)DM患者为研究对象,使用随机数表法将其分为两组,每组60例。对照组患者接受常规健康教育,研究组患者采用基于看图对话工具的健康教育模式。对比两组患者的T_(2)DM健康知识认知情况评分、T_(2)DM自我管理行为量表(Diabete Self Care Scale,DSCS)评分、健康调查简表(MOS Item Short from Health Survey,SF-36)评分,以及护理满意度。结果研究组患者对于T_(2)DM健康知识的总认知率(96.67%)高于对照组(83.33%),差异有统计学意义(χ^(2)=5.926,P<0.05)。干预前,两组DSCS量表、SF-36量表评分对比,差异无统计学意义(P均>0.05);干预8周后,研究组DSCS量表评分(89.65±10.50)分、SF-36量表评分(88.36±6.85)分,均高于对照组的(82.67±8.45)分、(80.64±5.77)分,差异有统计学意义(t=4.012、6.677,P均<0.05)。研究组护理总满意率较对照组高,差异有统计学意义(P<0.05)。结论基于看图对话工具的健康教育能够有效提升T_(2)DM患者对于疾病知识的认知程度,改善自我管理行为,保障生活质量,且提高了护理满意度。Objective To analyze the effect of health education based on picture-based dialogue tool in patients with diabetes mellitus type 2(T_(2)DM).Methods A total of 120 T_(2)DM patients admitted to the First Affiliated Hospital of Xiamen University from January 2021 to December 2022 were selected randomly as the study object and were divided into two groups using random number table,with 60 cases in each group.The control group received routine health education,and the study group adopted the health education mode based on picture-based dialogue tool.T_(2)DM health knowledge cognition score,T_(2)DM diabete self care scale(DSCS)score,MOS item short from health survey(SF-36)score,and nursing satisfaction were compared between the two groups.Results The total recognition rate of T_(2)DM health knowledge in the study group was 96.67%,which was higher than 83.33%in the control group,the difference was statistically significant(χ^(2)=5.926,P<0.05).Before intervention,there were no statistically significant differences in the scores of DSCS scale and SF-36 scale between two groups(both P>0.05).After 8 weeks of intervention,the DSCS score was(89.65±10.50)points and the SF-36 score was(88.36±6.85)points in the study group,which were higher than(82.67±8.45)points and(80.64±5.77)points in the control group,the differences were statistically signifi-cant(t=4.012,6.677,both P<0.05).The total satisfaction rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Health education based on picture-based dia-logue tool can effectively improve T_(2)DM patients'cognition of disease knowledge,improve self-management behavior,guarantee quality of life,and improve nursing satisfaction.
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