体验式学习干预对2型糖尿病患者疾病知识的影响

The effect of experiential learning on knowledge for patients with T2DM

目的探讨体验式学习对2型糖尿病患者疾病知识的影响.方法选取2016年3月~2016年10月我院收治的2型糖尿病患者140例,按收治时间段不同分为对照组和观察组,每组各70例.对照组给予2型糖尿病常规护理、计算机信息化管理、微信及电话随访等干预措施.干预组在此基础上,还给予包括并发症体验活动、仿真食物模型饮食教育、胰岛素模拟注射训练及糖友座谈会的体验式学习干预.对两组患者在入院时、出院时、出院后1、3、6个月5个时间点的疾病知识进行比较.结果共有125例2型糖尿病患者完成整个研究过程,对照组64例,干预组61例.干预后,干预组疾病知识得分均高于对照组,经两因素重复测量的方差分析及进一步简单效应分析,两组研究对象在出院后3个月及6个月的疾病知识得分差异有统计学意义(P<0.05).结论体验式学习干预可提升2型糖尿病患者的疾病知识水平,且有较好的临床效果.

Objective To explore the effects of experiential learning inpatients with type 2 diabetes disease knowledge.Methods 140 patients with T2 DM were selected by convenience sampling from the target population. They were allocated to intervention group(n=70) and control group(n=70) by date of admission. On the basis of comprehensive intervention(including routine nursing care, informatization management with Diabetes health management system, WeChat group of T2 DM, Telephone follow-up after discharge, etc.), the intervention group received experiential learning therapy. The General Questionnaire(including general status and disease-related materials) applied to collect information of all subjects on five times(On admission, discharge, 1 month after discharge, discharge after 3 months, 6 months after discharge). Results 125 subjects completed all research procedure(experimental group=61, control group=64). After the intervention, the intervention group of ChineseADKnowl score was higher than that of control group. The two factors of repeated measures ANOVA and further simple effect analysis, the ADKnowl score of two groups in 2 time points( months and 6 months after discharge of) had significant differences(P< 0.05).Conclusion Experiential learning can promote the knowledge level of patients with type 2 diabetes, and has good short-term and long-term effects.