回授法联合微信全程健康教育对糖尿病患者自我效能与医疗依从性的影响  

The effect of the teach-back method combined with WeChat whole process health educationon the self-efficacy and medical compliance of diabetic patients

作　　者：卿雪莲 陈小玉[1] 廖娟[2] 张家佳 李远[2] QING Xuelian;CHEN Xiaoyu;LIAO Juan;ZHANG Jiajia;LI Yuan(Department of Medical Affairs,Yongchuan Hospital,Chongqing Medical University,Chongqing 402160,China;不详)

机构地区：[1]重庆医科大学附属永川医院医务科,重庆402160 [2]重庆医科大学附属永川医院中心实验室

出　　处：《中华全科医学》2025年第5期814-818,共5页Chinese Journal of General Practice

基　　金：国家自然科学基金项目(11702047);重庆医科大学附属永川医院2024年院级课题(YJHL2024043)。

摘　　要：目的 自我效能感和医疗依从性与糖尿病患者疾病进展关系密切,本研究旨在探讨回授法联合微信全程健康教育对2型糖尿病(T2DM)患者自我效能感与医疗依从性的影响,为其健康教育提供参考。方法 招募重庆医科大学附属永川医院2023年8—9月收治的90例T2DM住院患者为研究对象,采用随机数字表法分为试验组与对照组,每组45例。对照组采用常规健康教育,试验组在对照组基础上采用teach-back联合微信全程健康教育。比较2组干预前和干预1、3、6个月空腹血糖水平、自我效能与医疗依从性。结果 干预后,重复测量数据显示,2组空腹血糖水平、慢病自我效能感量表(SEMCD-6)、慢病医疗依从性量表各项评分及总分比较,差异均有统计学意义(P<0.05)。简单效应分析显示,干预后试验组空腹血糖水平[(6.82±1.13)mmol/L vs.(8.02±1.68)mmol/L]、SEMCD-6各项评分及总分[(48.40±4.16)分vs.(40.67±6.00)分]和慢病医疗依从性量表各项评分及总分[134.0(129.0,139.0)分vs. 118.0(110.5,126.0)分]均优于对照组(P<0.05)。结论 回授法联合微信全程健康教育可有效控制T2DM患者血糖水平,提高患者自我效能感和医疗依从性。Objective Self-efficacy and medical compliance are closely related to disease progression in diabetic patients,and the purpose of this study was to explore the effect of teach-back combined with WeChat whole process health education on self-efficacy and medical compliance in patients with type 2 diabetes mellitus(T2DM),and to provide a reference for their health education.Methods A total of 90 inpatients with T2DM admitted to Yongchuan Hospital of Chongqing Medical University from August to September 2023 were recruited as the study subjects,and they were divided into the experimental group and the control group by random number table method,with 45 cases in each group.The control group was given routine health education,and the experimental group was taught back combined with WeChat whole process health education on the basis of the control group.The fasting blood glucose levels,self-efficacy,and medical compliance before intervention,1 month,3 months,and 6 months were compared between the two groups.Results After the intervention,repeated measures data showed that there were statistically significant differences in fasting blood glucose levels,chronic disease self-efficacy scale(SEMCD-6),and chronic disease medical adherence scale between the two groups(P<0.05).Simple effect analysis showed that after the intervention,the fasting blood glucose level in the experimental group[(6.82±1.13)mmol/L vs.(8.02±1.68)mmol/L],SEMCD-6 scores and total scores[(48.40±4.16)points vs.(40.67±6.00)points]and chronic disease medical compliance scale scores and total scores[134.0(129.0,139.0)points vs.118.0(110.5,126.0)points]in the experimental group were all better than those in the control group(P<0.05).Conclusion Teach-back combined with WeChat whole process health education can effectively control the blood glucose level of patients with T2DM and improve their self-efficacy and medical compliance.

关 键 词：2型糖尿病 回授法 微信平台 全程健康教育 自我效能感 医疗依从性 

分 类 号：R587.1[医药卫生—内分泌]