肥胖糖尿病患者对健康教育干预的依从性调查分析

Survey and Analysis on Compliance of Obese Diabetic Patients with Health Education

目的了解肥胖糖尿病患者对健康干预依从性现状,为制定相应干预措施提供依据。方法采用问卷调查和健康干预相结合的方式进行分析研究。把某医院2009年1～12月份住院的1 002例2型糖尿病患者,按照BMI分组,从BMI≥25的患者中随机抽取133人作为A组(肥胖组),BMI<25的133人为B组(非肥胖组),两组糖尿病患者均由社区护士进行为期2年的健康教育干预。结果健康教育干预前A组和B组控油差状况差异有统计学意义(P<0.05);干预前后A组控油差、控盐差和家庭成员支持方面差异有统计学意义(P<0.05);干预前后B组进食果蔬少、不运动或偶尔运动、家庭成员支持方面有明显改善(P<0.05);干预后两组间甘油三酯、糖化血红蛋白和空腹血糖差异均有统计学意义(P<0.05)。结论提高肥胖糖尿病患者生活质量的关键在于纠正其不健康的生活方式。

Objectives To learn the compliance situation of the obese diabetic patients with health intervention, in order to provide basis for making appropriate intervention measures. Methods Questionnaires and health education were adopted in this study. Of 1 002 type 2 diabetes from 2009, patients were divided into group A （n=133） and group B （n= 133） according to BMI^25 and BMI^25. Two groups of diabetic patients were educated by communi- ty nurses for 2 years. Results The oil-control of group A was poorer than that of group B during health education （P%0.05）. There was statistical significance on controlling oil, controlling salt and family members support in group A before after intervention （P〈0.05）. But statistical significance existed on taking fruit and vegetables, lack of exercise or occasional exercise and family members support in group B before and after intervention （P〈0.05）. Triglyeeride, glycosylated hemoglobin and fasting blood glucose in group A were much higher than those in group B after intervention （P〈0. 05）. Conclusions The key of improving life quality of obese diabetic patients is to correct unhealthy lifestyles.