健康教育对糖尿病患者自我效能的影响

Effect of health education on self-efficacy of diabetic patients

目的探讨知识讲座-出院后随访相结合的健康教育模式对2型糖尿病患者自我效能的影响。方法收集2017年1~12月的糖尿病住院患者共110例,随机分为对照组和实验组,各55例,对照组以传统的常规护理为主,并对患者开展了相应的健康宣教及治疗,实验组除了给予常规护理及治疗外,还针对患者开展了联合知识讲座及出院后随访工作。分别观察入院时和出院3个月后两组患者自我效能、空腹血糖、糖化血红蛋白水平的差异。结果出院3个月后经知识讲座-出院后随访进行干预的实验组,在自我能效得分上高于对照组(P<0.05);在空腹血糖、糖化血红蛋白的改善上亦优于对照组(P<0.05)。结论知识讲座-出院后随访的健康管理模式能提升糖尿病患者的自我管理行为,增强信心,改善血糖,使患者获益。

Objective To explore the effect of health education model with knowledge lecture-post-discharge follow-up visit on self-efficacy in patients with type 2 diabetes. Methods A total of 110 hospitalized patients with diabetes from January to December in 2017 were collected and randomly divided into the control group and the experimental group, with 55 cases in each group. The control group was mainly given traditional routine nursing care, and the corresponding health education and treatment were carried out for the patients. In addition to the routine care and treatment, the experimental group was also given joint knowledge lectures and post-discharge follow-up visit for patients. The differences in self-efficacy, fasting blood glucose, and glycosylated hemoglobin levels between the two groups were observed at admission and 3 months after discharge. Results 3 months after discharge, the experimental group, which was intervened by knowledge lecture-post-discharge follow-up visit, was higher in the self-efficacy score than the control group(P<0.05);the improvement of fasting blood glucose and glycosylated hemoglobin was also superior to the control group(P<0.05). Conclusion The health management model of knowledge lecture - post-discharge follow-up visit can improve the self-management behavior of diabetic patients, enhance confidence, improve blood sugar, and benefit patients.