健康教育对提高代谢综合征病人血糖代谢医嘱依从性的研究

Study of health education on promoting their compliance to doctor＇s advice on blood--glucose among the patients with metabolic syndrome

目的探讨病人医嘱依从性对代谢综合征病人血糖水平的影响。方法将56倒门诊代谢综合征病人随机分为观察组和对照组各28例，观察组进行健康教育，对照组不作干预，3～6个月后对2组病人医嘱依从性及生态指标（空腹血糖，餐后2h血糖，糖化血红蛋白，甘油三酯等）进行调查。结果2组病人医嘱依从性的差异具有统计学意义，观察组病人医嘱依从性好。结论健康教育干预是保证代谢综合征病人遵医行为的有力措施。

Objective To explore the effect of their compliance to doctor＇s advice on the level of blood--glucose among the patients with metabolic syndrome. Methods Fifty--six patients with metabolic syndrome were divided into the therapy group and the control group at random, with 28 patients in each group. The health education was only given in the therapy group. After three months, the patients＇ compliance of doctor＇s advice was studied and the ecological parameters （fasting blood glucose, 2 hours＇ postprandial blood glucose, glycosylated hemoglobin, triglyceride, et al） were tested. Results The therapy group had a better compliance of doctor＇s advice than that of the control group, and the difference between the therapy and control group was significant statistically. Conclusions Health education can improve the compliance of doctor＇s advice in patients with metabolic syndrome.