健康指导对老年糖尿病患者胰岛素强化治疗中低血糖发生率的改善效果

Effects of health guidance on hypoglycemia incidence in the elderly patients with diabetes receiving insulin intensive therapy

目的探讨健康指导对老年糖尿病患者胰岛素强化治疗中低血糖发生率的改善效果。方法选取2012年5月至2015年4月期间来我院就诊并接受胰岛素强化治疗的老年糖尿病患者41例。患者在常规护理的基础上进行健康教育指导,出院后定期随访半年,对患者半年内低血糖发生率、治疗依从性、生活方式、糖尿病知识掌握情况以及生活质量等方面进行分析。结果干预后患者的低血糖发生率为4.9%,显著性低于干预前(29.3%,P<0.05);干预后患者遵循医嘱的依从性达标率、糖尿病知识得分以及预后的生活质量评分均显著高于干预前(P<0.05);干预后患者生活方式改善显著(P<0.05)。结论对行胰岛素强化治疗的老年糖尿病患者进行健康教育指导能有效降低患者低血糖的发生,提高患者的治疗依从性,改善患者的不良生活习惯,提高对糖尿病以及低血糖知识的掌握,提高患者的生活质量,值得临床进一步推广使用。

Objective To investigate the effects of health guidance on hypoglycemia incidence in the elderly patients with diabetes receiving insulin intensive therapy. Methods Forty-one elderly patients with diabetes in our hospital from May 2012 to April 2015 were enrolled in this study. Patients were given health education on the basis of routine care after they left hospital. All patients were followed up for six months. The incidence of hypoglycemia,treatment compliance,lifestyle,diabetes knowledge and quality of life were analyzed and compared. Results The incidence of hypoglycemia was 4. 9% after the health education,significantly lower than that before health education（ 29. 3%,P〈0. 05）; Compliance rate of doctor＇s advice,the scores of diabetes knowledge and the quality of life after the intervention were significantly higher than those before intervention（ P 0. 05）. The life style was significantly improved after intervention（ P 0. 05）.Conclusions Health education could effectively reduce the occurrence of hypoglycemia and improve the compliance rate of the patients receiving insulin intensive therapy,which also could improve hypoglycemia knowledge and improve the quality of life.