健康干预对糖尿病合并脑卒中患者自我管理能力的影响

Influence of health intervention on self-management ability in patients with diabetes mellitus complicated with stroke

目的 :观察健康教育和行为干预对糖尿病合并脑卒中患者自我管理能力的影响。方法 :收集2016年5月至2017年5月在本中心接受治疗的98例糖尿病合并脑卒中患者临床资料,分为对照组44例,平均年龄(64.11±4.96)岁;干预组54例,平均年龄(62.13±2.34)岁。对照组行常规干预,干预组行健康教育和行为干预,比较两组间的糖代谢指标及自我管理能力。结果 :干预组空腹血糖、餐后2 h血糖、糖化血红蛋白、NIHSS得分以及自我管理能力评分改善均比对照组明显(P<0.05)。结论 :健康教育和行为干预能提高糖尿病并脑卒中患者的自我管理能力。

Objective： To observe the influence of health education and behavior intervention on self-managementability of diabetic patients with stroke. Methods： The clinical data of 98 patients with diabetes mellitus complicated with stroketreated in our center from May 2016 to May 2017 were collected and divided into a control group with 44 cases, with an averageage （64.11±4.96） years and an intervention group with 54 cases, with an average age （62.13±2.34） years. The control groupreceived routine intervention and the intervention group was given health education and behavior intervention. The indexes ofglucose metabolism and self-management ability between the two groups were compared. Results： The fasting blood glucose,postprandial 2 h blood glucose, glycosylated hemoglobin, NIHSS score and self-management ability score of the interventiongroup were significantly better than those of the control group（P〈0.05）. Conclusion： Health education and behavior interventioncan improve the self-management ability of patients with diabetes mellitus complicated with stroke.