家属强化培训对糖尿病患者治疗依从性及不良生活习惯的影响观察

compliance and unhealthy lifestyle of patients with diabetes mellitus

目的 观察家属强化培训对糖尿病患者治疗依从性及不良生活习惯的影响程度.方法 选取2015年1月至2016年3月收治的64例住院治疗的糖尿病患者为研究对象,将64例患者按照随机数字表法分为2组,对照组32例患者进行常规糖尿病护理干预,观察组32例患者在对照组基础上进行家属强化培训,然后将2组干预前与干预后4、8、12周的治疗依从性、不良生活习惯相关知识认知度及不良生活习惯情况进行比较.结果 干预前2组患者的治疗依从性、不良生活习惯相关知识认知度及不良生活习惯情况差异均无统计学意义（P〉0.05）,而观察组干预后4、8、12周治疗依从性评分分别为（6.26±0.32）、（6.95±0.36）、（7.28±0.40）分,均优于对照组的（5.23±0.29）、（6.01±0.30）、（6.30±0.33）分,差异有统计学意义（t=8.253、9.201、10.257,均P〈0.05）;不良生活习惯相关知识认知度评分分别为（80.78±5.90）、（89.44±6.02）、（93.43±6.20）分,均优于对照组的（73.38±5.73）、（77.93±5.84）、（82.20±6.01）分,差异有统计学意义（t=11.258、12.563、13.324,均P〈0.05）;不良生活习惯控制较好率分别为75.00%（24/32）、90.63%（29/32）、96.88%（31/32）,均优于对照组的59.38%（19/32）、68.75%（22/32）、78.13%（25/32）,差异有统计学意义（χ^2=7.251、7.468、9.169,均P〈0.05）.结论 家属强化培训对糖尿病患者治疗依从性及不良生活习惯的影响更为积极,因此,在糖尿病患者家属中进行强化培训的价值较高.

Objective To observe and study the influence degree of strengthen training for family members for the treatment compliance and unhealthy lifestyle of patients with diabetes mellitus. Methods A total of 64 patients with diabetes mellitus from January 2015 to March 2016 were selected and divided into two groups by the method of random number table,32 patients in control group were taken care with routine nursing of diabetes mellitus,32 patients in observation group were taken care with strengthen training for family members,then the treatment compliance,related knowledge cognition of unhealthy lifestyle and unhealthy lifestyle situation of two groups before the intervention and at 4th, 8th and 12th week after the intervention were compared. Results The treatment compliance, related knowledge cognition of unhealthy lifestyle and unhealthy lifestyle situation of two groups before the intervention all had no obvious differences （all P〉0.05）. The treatment compliance at 4th, 8th and 12th week after intervention were （6.26 ± 0.32）, （6.95 ± 0.36）, （7.28 ± 0.40） scores in observation group, and （5.23 ± 0.29）, （6.01 ± 0.30）, （6.30 ± 0.33） scores in control group, and the differences were significant （t=8.253, 9.201, 10.257, all P〈0.05）. The related knowledge cognition of unhealthy lifestyle at 4th, 8th and 12th week after intervention were （80.78±5.90）, （89.44±6.02）, （93.43±6.20） scores in observation group, and （73.38± 5.73）, （77.93±5.84）, （82.20±6.01） scores in control group, and the differences were significant （t=11.258,12.563, 13.324, all P〈0.05 ）. The unhealthy lifestyle situation at 4th, 8th and 12th week after intervention were 75.00%（24/32）, 90.63%（29/32）, 96.88%（31/32） in observation group, and 59.38%（19/32）, 68.75%（22/32）,78.13%（25/32） in control group, and the differences were significant （χ^2=7.251, 7.468, 9.169, all P〈0.05）. Conclusions The influence of strengthen training for family members for the treatment compliance and unhealthy lifestyle of patients with diabetes mellitus are more active, so the value of strengthen training for family members of patients with diabetes mellitus is higher.