参与式健康教育工具包在2型糖尿病患者中的应用  

Application of a Participatory Health Education Toolkit in patients with type 2 diabetes mellitus

作　　者：李爱华[1] 王丽丽[1] 王英香 董欢[1] 许洪蕊 王晓静[1] LI Aihua;WANG Lili;WANG Yingxiang;DONG Huan;XU Hongrui;WANG Xiaojing(Endocrinology Center,Beijing Luhe Hospital Affiliated to Capital Medical University,Beijing,101149,China)

机构地区：[1]首都医科大学附属北京潞河医院内分泌代谢与免疫性疾病中心,北京市101149

出　　处：《中国护理管理》2024年第5期787-792,共6页Chinese Nursing Management

基　　金：北京市通州区科技计划项目(KJ2022CX026)。

摘　　要：目的:通过参与式糖尿病健康教育工具包的构建与实施,分析其对2型糖尿病患者疾病知识和健康行为的影响,从而提高患者的自我管理能力。方法:通过工具包设计、参与式研究、可行性评估、开发适合本土文化的糖尿病参与式健康教育工具包,并对此工具包进行验证。采用随机数字表法,将81例2型糖尿病患者随机分成对照组40例、干预组41例。对照组接受常规健康教育,干预组接受基于“参与式健康教育工具包”的“3-PR”健康教育管理,比较干预3个月后,两组患者糖化血红蛋白、糖尿病知识得分、糖尿病自我管理行为得分情况。结果:干预后,干预组患者糖化血红蛋白水平、糖尿病知识得分、糖尿病自我管理行为评分均明显优于对照组,差异均有统计学意义(P<0.05)。结论:采用参与式健康教育工具包能显著提高患者自我管理水平,改善血糖控制水平,值得未来在临床进一步推广。Objective:To design and develop a Participatory Health Education Toolkit,and to explore its influence on disease knowledge and health behaviors of patients with type 2 diabetes.Methods:A Participatory Health Education Toolkit adapted to local culture was developed and verified.Eighty-one patients with type 2 diabetes were randomly divided into control group(40 cases) and intervention group(41 cases).The control group received routine health education,while the intervention group received Participatory Research,Participatory Role-playing and Participatory Review(3-PR) health education based on Participatory Health Education Toolkit.The level of glycosylated hemoglobin(HbA1c),scores of diabetes knowledge and diabetes self-management behaviors were compared between the two groups after 3 months of intervention.Results:After the intervention,the level of HbA1c,the scores of diabetes knowledge and diabetes self-management behaviors in the intervention group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Using Participatory Health Education Toolkit can significantly improve patients' selfmanagement behaviors and blood sugar control level.

关 键 词：参与 健康教育工具 2型糖尿病 自我管理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]