健康教育在糖尿病患者角色缺如中的作用

Effect of health education on diabetics with role lack

目的提高糖尿病角色缺如者自我管理能力。方法对121例糖尿病角色缺如者采用集体教育结合个体辅导的教育方法，并对其受教育前、后血糖、血脂及体质指数进行比较，健康教育前、后的比较采用配对的t检验。结果教育后糖尿病角色缺如者糖尿病知识增加（79．37±12．45VS31．69±9．36，t=2．860，P〈0．05）、自我管理能力加强（9．21±2．85VS4．43±1．72，t=2．812，P〈0．05），空腹血糖（6．3±1．8VS8．1±2．1，t=2．736，P〈0．05）、餐后2h血糖（8．1±3．7vs12．8±4．1，t=3．549，P〈0．05）及糖化血红蛋白（HbAlC）（6．4±2．5VS7．1±2．7，t=2．603，P〈0．05）、胆固醇（5．2±2．3VS6．3±2．4，t=2．036，P〈0．05）、三酰甘油（1．7±0．7 VS 2．4±0．8，t=2．368，P〈0．05）及体质指数（25．6±6．2 vs 27．3±6．5，t=2．546，P〈0．05）较教育前降低，差异有统计学意义（均P〈0．05）。结论健康教育可提高糖尿病角色缺如者自我管理能力，提高疗效。

Objective To improve self-management of diabetics with role lack. Methods A total of 121 diabetics with role lack were enrolled and received mass education and individual counseling. Serum levels of glucose and lipid profiles and body mass index （BMI） were assessed and compared before and after intervention by using paired t test. Results Knowledge on diabetes （79.37 _± 12. 45 vs 31.69 ±- 9. 36, t = 2.860,P〈0.05） and self-management skills （9.21 ±-2,85 vs 4.43 ±- 1.72,t=2.812,P〈0.05） were significantly improved after receiving health education, although fasting plasma glucose [ （ 6. 3 ± 1.8 ） vs （ 8. 1 ± 2. 1 ） mmol/L, t = 2. 736, P 〈 0. 05 ] ,2-h postprandial blood glucose [ （ 8. 1 ± 3.7 ） vs （ 12. 8 ± 4. 1 ） mmol/L, t = 3. 549, P 〈 0. 05 ], glyeosylated hemoglobin A1 e [ （ 6. 4 ± 2. 5 ） % vs （7.1 ± 2.7 ） %, t = 2. 603, P 〈 0.05 ] , total cholesterol [ （ 5.2 ± 2. 3 ） vs （ 6. 3 ± 2.4 ） mmol/L, t = 2. 036, P 〈 0. 05 ± , triglyceride [（1.7±0.7） vs （2.4±0.8） mmol/L,t =2.36g,P〈0. 05] and BMI [（25.6±6.2） vs （27.3 ±6.5） kg/m^2 ,t =2. 546, P 〈 0. 05] were largely decreased. Conclusion Health education could improve self-management and cure of diabetic patient with role lack.