思维导图在老年糖尿病患者低血糖健康教育中的应用

Application of Mind Mapping in the Hypoglycemia Health Education of Senile Diabetes Patients

目的评价思维导图在老年糖尿病患者低血糖健康教育中的应用效果。方法将于2016年11月—2017年1月该院收治的80例老年糖尿病患者按随机数字表法分为对照组和干预组各40例。对照组接受病房传统的低血糖健康教育,包括大课堂集中教育,小组课教育,发放健康教育资料等。干预组在病房传统健康教育基础上使用由该院糖尿病专科护士设计的低血糖自我管理的思维导图,运用该院自行设计的低血糖知识测定问卷作为评分工具,于教育前、出院前及出院后3个月,评价思维导图对老年糖尿病患者低血糖知识知晓率及低血糖发生率的影响。结果教育前、出院前及出院后3个月干预组患者低血糖知识知晓率显著高于对照组(P<0.05);出院后3个月干预组低血糖发生率显著低于对照组(P<0.05)。结论在老年糖尿病患者中使用思维导图,让其进行低血糖健康教育的自我管理,对于患者掌握有关低血糖知识的能力有所提高,减少低血糖的发生,易被老年患者接受。

Objective To evaluate the application effect of mind mapping in the hypoglycemia health education of senile diabetes patients. Methods 80 cases of senile diabetes patients which sdected from November 2016 to January 2017, were randomly divided into two groups with 40 cases in each, the control group received the traditional hypoglycemia health education, including the large class centralized education, group class education and issuing the health education data, while the intervention group used the mind mapping designed by the diabetes specificity nurses in our department on the basis of the control group, and the self-made questionnaires of hypoglycemia knowledge in our department were used as the marking tool, and the senile diabetes patients＇ awareness rate of hypoglycemia knowledge and effect of mind mapping on the hypoglycemia before education, before discharge and in three months after discharge were evaluated. Results The hypoglycemia knowledge scores in the intervention group before education, before discharge and in three months after discharge were obviously higher than those in the control group（P〈0.05）, and the incidence rate of hypoglycemia in three months after discharge was obviously lower than that in the control group（P〈0.05）. Conclusion The application of mind mapping in senile diabetes patients can make them conduct the self-management of hypoglycemia health education, which can improve the ability to master the hypoglycemia knowledge, and reduce the occurrence of hypoglycemia, which is easy to be accepted by the senile patients.