基于知信行模式的健康教育在糖尿病足患者中的应用研究

发布时间：2018-12-25 20:11

【摘要】：目的探讨基于知信行模式的健康教育在糖尿病足患者中的应用效果。方法于2015年1—12月采取方便抽样方法选取120例糖尿病足患者,按照随机数字表法随机分为干预组60例,对照组60例,对照组采用常规的健康教育,干预组采用基于知信模式的健康教育模式实施干预,2组患者均随访干预12个月,比较2组的健康教育效果。结果干预后,观察组患者糖尿病足发生的原因(70.00%)、糖尿病足的危害(75.00%)、糖尿病足的症状(78.33%)、正确控制血糖的方法 (70.00%)、足部日常护理的方法 (66.67%)、足部检查的方法(68.33%)、正确选择鞋袜(71.67%)、如何修剪趾甲(75.00%)、定期复查的重要性(80.00%)等知识知晓率高于对照组,差异均有统计学意义(P0.05)。观察患者严格控制血糖(75.00%),每天穿软底、宽松、透气的鞋(70.00%),正确修剪趾甲(73.33%),每天清洗足部(90.00%),坚持每天足部管理(按摩)(70.00%),严格饮食管理(78.33%),每天做下肢运动(81.67%)等自我管理行为高与对照组,差异均有统计学意义(P0.05)。2组患者的糖尿病足危险程度下降情况比较差异有统计学意义(χ~2=6.645,P=0.036)。结论基于知信行模式的健康教育可提高糖尿病足患者的疾病认知水平和自我管理行为,预防糖尿病足溃疡的发生。
[Abstract]:Objective to investigate the effect of health education based on knowledge, belief and action on diabetic foot patients. Methods from January to December 2015, 120 diabetic foot patients were randomly divided into intervention group (n = 60), control group (n = 60) and control group (n = 60). The two groups were followed up for 12 months to compare the effect of health education. Results after intervention, the causes of diabetic foot (70.00%), the harm of diabetic foot (75.00%), the symptoms of diabetic foot (78.33%), the method of correctly controlling blood glucose (70.00%), the incidence of diabetic foot (75.00%), and the control of diabetic foot (78.33%) were found in the observation group. The methods of routine foot care (66.67%), foot examination (68.33%), proper selection of shoes and socks (71.67%), and how to trim toenails (75.00%) were used. The importance of regular reexamination (80.00%) and other knowledge awareness rate were higher than the control group, the differences were statistically significant (P0.05). The patients were observed to control their blood glucose (75.00%), wear soft soles, loose, breathable shoes (70.00%), prune their toenails correctly (73.33%), wash their feet every day (90.00%). Daily foot management (massage) (70.00%), strict diet management (78.33%), daily lower limb exercise (81.67%) and other self-management behaviors were higher than those in the control group. The difference was statistically significant (P0.05). There was significant difference between the two groups in decreasing the risk of diabetic foot (蠂 ~ 2, 6.645, P < 0.036). Conclusion Health education based on the model of knowledge, belief and action can improve the disease cognition and self management behavior of diabetic foot patients, and prevent the occurrence of diabetic foot ulcer.
【作者单位】：解放军四五四医院;
【基金】：南京市卫计委支持性课题(11Y003)
【分类号】：R473.5

【相似文献】