健康教育在糖尿病社区慢病管理中的作用

Role of Health Education on Diabetic Community Chronic Disease Management

目的:提高糖尿病患者自我管理水平。方法:将297例2型糖尿病患者采用随机数字表法分为两组,其中对照组132例采用常规门诊慢病管理,教育管理组165例在对照组的基础上建立糖尿病社区健康干预网络,以学校的形式进行管理。对两组患者干预前后的疾病认知度、生活方式改善程度、服药依从率、血糖控制达标率、生化指标等进行统计分析。结果:教育管理组患者经过1年的学习、管理,糖尿病认知度、生活方式改善程度、服药依从率、血糖控制达标率及各项生化指标均较干预前有明显的改善,且除舒张压以外,各项指标均优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:建立糖尿病社区管理网络,应用健康教育策略带动饮食治疗、运动治疗、药物治疗和血糖监测,可以更加有效地提高糖尿病患者自我管理的水平。

OBJECTIVE： To improve the level of self-management in diabetes patients. METHODS： 297 cases of type 2 diabe tes were randomly divided into 2 groups. For 132 patients, traditional chronic disease management was adopted in control group. For 165 patients in health education group were managing the establishment the administrative network in the form of school. Statistical analyses were performed towards the cognition of relative diseases, lifestyle improvement, the rate of medication compliance, control rate of blood glucose and biochemical index in 2 groups before and after intervention. RESULTS： After studying for one year, the cognition of diabetes, the improvement of lifestyle, medication compliance and other index were all improved significantly in health education group; there was statistical significance between health education group and control group （P〈0.05）, except diastolic blood pressure. CONCLUSIONS： Diabetes and other relative diseases are able to be self-controlled more effectively when administrative networks towards diabetes are built in communities and health educational strategies are applied to motivate diets, ex- ercises, medication, as well as blood glucose monitoring.