家庭健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响

发布时间：2018-09-07 21:00

【摘要】：目的探讨以家庭为单位的健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响。方法选取2013年7-12月本院内分泌科收治需长期院外胰岛素治疗的糖尿病患者120例。按随机化分组表分为对照组[n=60,男性38例,女性22例,年龄(58.93±14.15)岁,病程(7.82±5.62)年,采用针对患者本人的传统健康教育模式]和试验组[n=60,男性36例,女性24例,年龄(60.03±12.17)岁,病程(8.13±6.08)年,采用以家庭为单位的健康教育模式]。研究随访时间1年,对两组患者及家庭单位成员糖尿病院外胰岛素治疗相关知识的知晓率、患者治疗的依从性及家属在提高患者依从性中发挥的作用、患者空腹血糖、餐后2 h血糖、糖化血红蛋白、尿微量蛋白等进行比较。结果两组患者及家属糖尿病院外胰岛素治疗相关知识的知晓率(95.87%vs 81.26%,88.57%vs 31.86%)、患者糖尿病院外胰岛素治疗的依从性(88.33%vs 38.33%)、家属对患者依从性的影响(96.33%vs 28.33%)、空腹血糖、餐后2 h血糖、糖化血红蛋白[(6.27±1.35)%vs(6.86±1.24)%]、尿微量蛋白[(16.72±3.98)vs(24.62±5.05)mg/d L]等比较,试验组均显著优于对照组(P0.01)。结论基于以家庭为单位的健康教育模式能显著提高患者及家属(以一级亲属为主)糖尿病院外胰岛素治疗相关知识的知晓率,患者在家属的帮助下治疗依从性显著提高,从而提高院外胰岛素疗效(尤长期疗效)。
[Abstract]:Objective to explore the effect of family health education model on insulin compliance in patients with diabetes. Methods 120 patients with diabetes mellitus who were treated by insulin therapy in our hospital from July to December 2013 were selected. The patients were randomly divided into two groups: control group (n = 38, male 38, female 22, age (58.93 卤14.15) years, course of disease (7.82 卤5.62) years) and trial group (n = 36, male 36, female 24, age (60.03 卤12.17) years, course of disease (8.13 卤6.08) years). The model of health education based on family is adopted. The study was followed up for one year. The awareness rate of the knowledge about insulin therapy outside the hospital, the compliance of the patients and the role played by the family members in improving the compliance of the patients, the fasting blood glucose of the patients, and the family members of the two groups were studied. Blood glucose, glycosylated hemoglobin and urine trace protein were compared 2 h after meal. Results the awareness rate of insulin treatment related knowledge (95.87%vs 81.26 vs 31.86%), 88.33%vs 38.33%, the effect of family members on patient compliance (96.33%vs 28.33%), fasting blood glucose (FBG) and blood glucose 2 h after meal were observed in the two groups (95.87%vs 81.26 vs 31.86%). The glycosylated hemoglobin [(6.27 卤1.35) vs (6.86 卤1.24)%] and urine trace protein [(16.72 卤3.98) vs (卤24.62 卤5.05) mg/d L] were significantly better in the experimental group than in the control group (P0.01). Conclusion the model of health education based on family can significantly improve the knowledge of insulin therapy in patients and their relatives (mainly first-degree relatives), and the compliance of patients with diabetes mellitus is significantly improved with the help of family members. So as to improve the efficacy of insulin (especially long-term efficacy).
【作者单位】：第三军医大学新桥医院内分泌科;第三军医大学新桥医院护理部;
【分类号】：R473.5

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