医院—社区联动健康教育模式对社区2型糖尿病患者的管理效果评价  

Intervention effect of hospital-community joint health education model on the management of patients with type 2 diabetes in community

作　　者：施赵维 季晓珍[1] SHI Zhao-wei;JI Xiao-zhen(Department of Endocrinology,Lishui People's Hospital,Zhejiang Province,Lishui 323000,China)

机构地区：[1]丽水市人民医院内分泌科,浙江丽水323000

出　　处：《中国健康教育》2024年第9期839-843,共5页Chinese Journal of Health Education

基　　金：浙江省卫生健康科技计划适宜技术培育与推广项目(2022ZH022)。

摘　　要：目的 评价医院—社区联动健康教育模式对社区2型糖尿病患者血糖指标、自我管理和生活质量的影响,为糖尿病患者的健康教育模式提供参考依据。方法 采用简单随机抽样法,选择2021年6月—2022年7月期间丽水市人民医院治疗出院后回到社区医院管理的2型糖尿病患者110人为研究对象,将其分为2组,对照组实施常规健康教育,观察组实施医院—社区联动健康教育模式,采用χ^(2)检验和t检验比较患者干预前后的血糖水平、自我管理评分和生活质量。结果 干预前,2组患者血糖指标、自我管理评分和生活质量情况差异均无统计学意义,具有可比性(P>0.05);干预后,观察组HbAlc (4.12±1.04)%、2h PG (7.56±1.24) mmol/L和FPG (4.12±1.02) mmol/L,均低于对照组HbAlc (5.22±1.05)%、2h PG (8.55±1.27) mmol/L和FPG (5.42±1.14) mmol/L;观察组自我管理总分(111.18±7.08)分高于对照组(96.36±6.43)分;观察组SF-36总分(651.50±11.04)分高于对照组(570.95±10.36)分,差异均具有统计学意义(P<0.05)。结论 医院—社区联动健康教育模式可有效改善社区2型糖尿病患者的血糖水平,增强患者的自我管理能力,进而提高其生活质量。Objective To evaluate the effect of hospital-community joint health education model on blood glucose,self-management and quality of life among type 2 diabetes patients in community,and provide a reference for health educa-tion intervention on patients with diabetes.Methods Using simple random sampling method,a total of 110 diabetic patients who returned to community hospital for management after treatment in Lishui People's Hospital during June 2021 to July 2022 were selected as the study objects.They were divided into two groups.The control group received routine health education,while the observation group received hospital-community joint health education mode.Blood sugar level,self-management score and quality of life before and after the intervention were compared by using x?test and t test.ResultsThere was no significant difference in blood glucose indicators,self-management scores or quality of life scores between the two groups be-fore intervention(P>0.05).After intervention,the levels of HbAlc[(4.12±1.04)%vs.(5.22±1.05)%],2h PG[(7.56±1.24)mmol/Lvs.(8.55±1.27)mmol/L],FPG[(4.12±1.02)mmol/Lvs.(5.42±1.14)mmol/L]in the observation group were lower than those in the control group(P<0.05).The total scores of self-management(111.18±7.08)and the SF-36(651.50±11.04)in the observation group were higher than the total scores in the control group[self-management(96.36±6.43),SF-36(570.95±10.36)],and the differences were statistically significant(P<0.05).Conclusion The hospital-community joint health education model could effectively improve the blood glucose level of type 2 diabetes patients in community,enhance the self-management ability of patients,and then improve their quality of life.

关 键 词：糖尿病 医院-社区联动 健康教育 血糖 生活质量 

分 类 号：R193[医药卫生—卫生事业管理]