青岛市农村地区糖尿病健康教育干预效果评估

发布时间：2018-10-05 20:53

【摘要】：目的:1.评价糖尿病健康教育干预对农村地区糖尿病患者糖尿病知识水平的影响。2.比较糖尿病健康教育前后农村地区糖尿病患者糖尿病相关知识来源的变化情况。3.评价糖尿病健康教育干预实施后,农村地区糖尿病患者BMI、糖化血红蛋白、血压、甘油三酯、高密度脂蛋白、低密度脂蛋白、血脂达标率差异达标率的影响。为今后制定农村地区糖尿病防治策略提供依据。方法:应用问卷调查的方式对青岛市农村居民进行糖尿病知识掌握情况进行调查,并对他们进行为期3年的健康教育干预,3年后进行随访。结果:干预前受试对象糖尿病知识知晓率为16.64%,干预后为84.37%,干预后显著高于干预前(P0.05);干预后农村居民对肥胖与健康间的关系等2型糖尿病知识掌握情况提高,与干预前比较,差异有统计学意义(P0.05);干预后调查对象通过各种途径得到2型糖尿病相关知识的人数和比例较干预前均有上升,差异有统计学意义(P0.05)。干预后2型糖尿病危险因素的知晓率高于干预前(P0.05),但干预前后均较低;酗酒是干预前后知晓率最低的危险因素,分别占干预前后的2.08%和4.61%。干预后调查对象的BMI、糖化血红蛋白、血压、甘油三酯、低密度脂蛋白、高密度脂蛋白、血脂达标率差异均无统计学意义(P0.05)。结论:通过在农村地区实施健康生活干预,可以有效提高农村地区糖尿病患者糖尿病知识知晓率水平。应加强电视节目、病友交流会、社区医生宣传三个渠道的宣传教育。应加强糖尿病相关危险因素的相关知识、改变生活方式对糖尿病病情改善的有效性宣传,调整干预措施,鼓励糖尿病患者将对糖尿病知识的掌握运用到对自身生活方式的改变上来。
[Abstract]:Purpose 1. To evaluate the effect of diabetes health education intervention on diabetes knowledge level of diabetic patients in rural areas. 2. 2. To compare the changes of diabetes related knowledge sources in rural area before and after diabetes health education. Objective: to evaluate the effect of diabetes health education intervention on BMI, glycosylated hemoglobin, blood pressure, triglyceride, high density lipoprotein (HDL), low density lipoprotein (LDL) and blood lipids in rural diabetes patients. To provide the basis for the future development of diabetes prevention and treatment strategy in rural areas. Methods: a questionnaire survey was conducted to investigate the knowledge of diabetes mellitus in rural residents of Qingdao, and to carry out health education intervention for 3 years, followed up 3 years later. Results: the awareness rate of diabetes knowledge before intervention was 16.64, and after intervention was 84.37, which was significantly higher than that before intervention (P0.05). The difference was statistically significant (P0.05); the number and proportion of subjects who obtained type 2 diabetes related knowledge through various ways were higher than that before intervention (P0.05). After intervention, the awareness rate of risk factors of type 2 diabetes was higher than that before intervention (P0.05), but lower before and after intervention, and alcoholism was the lowest risk factor before and after intervention, accounting for 2.08% and 4.61% of the risk factors before and after intervention, respectively. The BMI, glycosylated hemoglobin, blood pressure, triglyceride, low density lipoprotein, high density lipoprotein, blood lipids had no significant difference after intervention (P0.05). Conclusion: the level of knowledge about diabetes mellitus in rural areas can be improved effectively by the intervention of healthy living in rural areas. TV programs, patient meetings and community doctors should be strengthened in three channels of publicity and education. We should strengthen the knowledge of the risk factors related to diabetes mellitus, improve the effectiveness of diabetes disease improvement by changing lifestyle, and adjust the intervention measures. People with diabetes are encouraged to apply their knowledge of diabetes to changes in their lifestyle.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R587.1;R193

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