同伴情景式健康教育在老年糖尿病患者自我管理中的应用

The effect of peer-support scene health education on self-management among elderly patients with diabetes

目的:探讨由同伴参与的情景式健康教育在提高老年糖尿病患者自我管理技能中的应用与效果。方法:120例老年糖尿病患者随机分为观察组60例、对照组60例,两组均接受医院组织的糖尿病"同伴支持团队"支持教育。对照组接受同伴支持的"口头讲解式"健康教育方法,观察组进行同伴支持的情景式互动健康教育方法,完成健康教育6个模块内容后对健康教育效果进行比较。结果:观察组胰岛素笔自行注射技术、血糖自测技术、低血糖识别与处理、食品交换份法等糖尿病自我管理技能操作的掌握程度好于对照组(P<0.05);糖尿病常识的掌握程度两组无统计学差异。对授课方式内容满意度观察组高于对照组(P<0.005)。结论:同伴参与的情景式互动健康教育具有形象性、参与性、趣味性,增加了老年糖尿病患者参加健康教育的主动性,明显提高患者自我管理技能操作水平。

Objectives：To explore the effect of peer-support scene health education on self-management among elderly patients with diabetes. Methods：Totally 120 elderly patients with diabetes were randomly divided into the control group and the study group with 60 patients in each group, Both groups received the peer-support education provided by the hospital. The control group received peer support oral presentation health education, while the study group received peer support scene interactive health education. We compared the education effect between the two groups after completing six modules of health education. Results：The skill mastery in study group were better than those in control group, including the self-injection skill by insulin pen, blood glucose self-test skill, recognition and treatment of hypoglycemia, and diabetic food exchange method （P〈0.05）.The diabetes general knowledge mastery between the two groups has no statistically signiifcant. The satisfaction of teaching methods and contents in study group was higher than that in control group （P〈0.005）. Conclusions：Peer-support scene health education have iconicity, participation and interest for elderly patients with diabetes which could increase their initiatives to take part in the health education and improve their self-management skills.