看图对话教育对2型糖尿病患者行为改变的影响

The effect of education of conversation with picture for behavior change in type 2 diabetic patients

目的探讨看图对话教育对2型糖尿病患者自护能力的影响。方法将60例诊断为2型糖尿病患者随机分成试验组和对照组各30例,试验组接受"看图对话"工具进行教育,对照组接受常规教育,观察干预前后6个月两组患者饮食控制、规律锻炼、遵医嘱服药、血糖监测、足部护理、异常血糖的处理、总的自护能力。结果试验组患者空腹血糖、餐后2h血糖、糖化血红蛋白值及自护行为能力优于对照组,两组患者的各项自护行为能力(除遵医嘱服药和足部护理外)的差异均有统计学意义(P<0.05)。结论看图对话教育对帮助2型糖尿病患者建立良好健康行为有促进作用,良好健康行为对患者血糖的控制具有重要的临床意义。

Objective To investigate the effect of education of conversation with picture for ability to protect in type 2 diabetic patients（T2DM）.Methods Sixty inpatients with T2DM were interviewed and random devided into tentative group and control group,every group has thirty people.The education of conversation with picture was given to tentative group,other group accept normal education.All the probable risk factors were collected,including alimentary control、regularity exercise、modo prescripto overdose、blood sugar monitoring、nursing of foot、process of abnomal blood sugar、total ability of protect.Results The occurrence of experiment group was outweigh control group with blood-fasting sugar、2 hour postprandial plasma glucose、glycated hemoglobin A1C.The difference of protect ability（except modo prescripto and nursing of foot） has statistical significance（P0.05）.Conclusion The promotion of education for conversation with picture was definitive.Health behavior has clinical significance for control of blood sugar with diabetic.