家属参与持续健康教育对糖尿病患者遵医行为的影响

Influence of family member participation in sustainable health education to medical compliance behavior of diabetic patients

目的探讨有家属参与的持续健康教育对糖尿病患者遵医行为的影响。方法将北京市怀柔区中医院内分泌科2011年1—10月住院治疗的糖尿病患者300例随机分为对照组(150例)和试验组(150例)。对照组仅对住院期间患者实施健康教育,实验组则接受由家属共同参与的持续健康教育。在患者出院后6个月,对两组患者的遵医行为进行评价。结果试验组出院后能按时用药、合理控制饮食、坚持合理运动的患者分别为69.2%、76.1%、和60.3%,明显好于对照组的44.9%、52.4%和42.9%(P<0.01);试验组出院后能做到定期复查、自我监测的患者分别90.4%和86.9%,明显好于对照组的44.9%和64.6%,差异有统计学意义(P<0.01)。结论对糖尿病患者实施由家属参与的持续健康教育,可明显提高患者的遵医行为及生活质量。

[ Objective] To study the influence of family member participation in sustainable health education to medical compliance behavior of diabetic patients. [ Methods] A total of 300 diabetic inpatients in department of endocrinology from Jan. 2011 to Oct. 2011 were divided randomly into a control group （ 150 patients） and experimental group { 150patients）. Inpatients of the control group were given health education. Inpatients in the experimental group were given sustainable health education with family member participation in. After the discharge of 6 months, the medical compliance behavior of diabetic patients of 2 groups was evaluated. [ Results] Patients of the experimental group discharged could insist on medicine-taking on time, diet control, proper physical ex- ercises, which was respectively 69. 2% 76.1% and 60.3% which were better than 44.9% 52.4% and 42.9% of the control group I P 〈 0.01 ）. Patients of experimental group discharged could do regular reexamination and self-monitoring, which was respectively 90.4% and 86.9% which were significantly better than 44.9% and 64.6% of the control group （ P 〈 0.01 ）. [ Conclusion ] The patients is given sustainable health education with family members participation in, improves the medical compliance behavior of consciousness obviously.