“321”健康教育模式对糖尿病视网膜病变患者疾病不确定感的影响

Effect of ＂321＂ health education model on uncertainty of disease in patients with diabetic retinopathy

目的 探讨糖尿病视网膜病变患者接受＂321＂健康教育模式对其生活质量、生理和心理治疗效果及疾病不确定感的影响.方法 选取2016年1-12月糖尿病视网膜病变患者104例,按随机数字表法分为对照组与观察组,对照组接受常规健康教育,观察组接受＂321＂健康教育模式,两组患者分别在接受教育前后使用疾病不确定感量表（MUIS）进行测试,比较两组患者接受教育前后疾病不确定感,同时使用普适性生活质量量表（SF-36）和糖尿病患者生活质量特异性量表（DSQL）对患者的生活质量进行评定.结果 接受教育前对照组和观察组患者疾病不确定感得分分别为（104.9±6.7）、（105.1±6.5）分,差异无统计学意义（t=-0.154,P=0.878）;接受教育后对照组和观察组患者疾病不确定感得分分别为（92.6±6.2）、（82.2±6.1）分,差异有统计学意义（t=8.622,P〈0.001）.接受教育后两组患者心理精神因素和治疗方面得分比较差异均有统计学意义（P〈0.05）.结论 ＂321＂健康教育模式能够显著降低糖尿病视网膜病变患者疾病不确定感,对患者心理/精神健康和治疗方面有积极意义.

Objective To explore the influence of ＂321＂ health education model on the quality of life, physiological and psychological treatment and uncertainty of disease in patients with diabetic retinopathy. Methods From January to December 2016, 104 patients with fundus surgery in the hospital for the treatment of diabetic retinopathy were selected as the research object. They were randomly divided into observation group and control group by the random number table method. Patients in the control group received routine health education and the patients in the observation group received the ＂321＂ model of health education. Patients in the two groups were tested with Mishel＇s uncertainty in illness scale （MUIS） before and after receiving education. The uncertainty of disease between two groups before and after education was compared, and two groups were assessed by using SF-36 scale and diabetes specific quality of life （DSQL）. Results Before the education, the scores of disease uncertainty in the control group and the observation group were （104.9±6.7） and （105.1±6.5） points, and the difference was not statistically significant （t=-0.154, P=0.878）; After receiving education, the scores of disease uncertainty in the control group and the observation group were （92.6±6.2） and （82.2±6.1） points, and the difference was statistically significant （t=8.622,P〈 0.001）; The scores of psychological/mental health and treatment were significantly different between the two groups after receiving education （P〈0.05）. Conclusions The ＂321＂ health education model for diabetic retinopathy can significantly reduce the uncertainty of disease, and has positive significance for the psychological/mental health and treatment of the patients.