胰岛素注射量化教育与随机教育对糖尿病治疗效果的对比研究

COMPARATIVE STUDY OF DIABETES TREATMENT EFFECT BETWEEN INSULIN INJECTION QUANTITATIVE EDUCATION AND RANDOM EDUCATION

目的探讨胰岛素注射知识量化教育与随机教育对糖尿病治疗效果的影响。方法选择糖尿病患者136例,按随机数字表法将其分为量化教育组和随机教育组,每组68例。分别按胰岛素注射知识量化教育与随机教育2种模式,对患者实施健康教育。于出院前1d通过知识问卷调查患者对胰岛素注射知识的掌握程度,于出院后每周复诊测定空腹及餐后2h血糖,连续观察12周,并于出院3个月门诊检测糖化血红蛋白。结果与随机教育组比,胰岛素注射量化教育组宣教内容掌握率、患者对教育满意度及血糖、糖化血红蛋白达标率明显增高(P<0.05)。结论胰岛素注射知识量化教育对糖尿病治疗效果明显优于胰岛素注射知识随机教育。

Objective To investigate the diabetes treatment effect between insulin injection quantitative education and random education. Methods A study of 136 cases with diabetes, who were randomly divided into quantitative education group （n = 68 ） and random education group （n = 68 ）. Health education was performed in two groups, one for insulin injection quantitative education, the another for random education. The mastery degree about the knowledge of insulin injection on patients was seen according to knowledge questionnaire. In addition, the fasting＂ glucose and postprandial glucose of 2 hours were tested after the patients were discharged continuously in 12 weeks. The last, glycosylated hemoglobin was tested in the clinic after the patients were discharged for three months. Results Compared with the random education group, the master rate of propaganda and education, the satisfaction of education and the target rate of blood glucose and glycosylated hemoglobin of the patients in insulin injection quantitative education group were significantly increased （ P 〈 0.05 ）. Conclusion The treatment effect of insulin injection quantitative education is obviously superior to random education in diabetic diabetes.