以营养饮食及心理教育为重点的多层面健康宣教对老年糖尿病患者生活方式、生存质量的影响

Effects of multi-level health education focusing on nutritional diet and psychological education on lifestyle and quality of life of elderly patients with diabetes mellitus

目的分析以营养饮食及心理教育为重点的多层面健康宣教对老年糖尿病患者生活方式、生存质量的影响。方法将100例老年糖尿病患者随机分为两组,各50例。对照组给予常规健康宣教,观察组在对照组基础上采用以营养饮食及心理教育为重点的多层面健康宣教。比较两组的血糖水平、生活方式、疾病控制情况、饮食知识、行为及生活质量评分。结果教育后,两组FPG、2 h PG、HbA1c水平均下降,且观察组低于对照组(P<0.05)。教育后,观察组生活方式改善情况优于对照组(P<0.05)。教育后,两组各项CSSD70评分均升高,且观察组均优于对照组(P<0.05)。教育后,两组饮食知识、行为及GQOL-74评分均升高,且观察组高于对照组(P<0.05)。结论对老年糖尿病患者采用以营养饮食及心理教育为重点的多层面健康宣教能够有效控制疾病症状,改善生活方式及生活质量,应用价值显著。

Objective To analyze the effects of multi-level health education focusing on nutritional diet and psychological education on lifestyle and quality of life of elderly patients with diabetes mellitus.Methods A total of 100 elderly patients with diabetes mellitus were randomly divided into two groups,with 50 cases in each group.The control group was given routine health education,and the observation group was given multi-level health education focusing on nutrition diet and psychological education on the basis of the control group.The blood glucose levels,lifestyle,disease control,scores of dietary knowledge,behavior and quality of life were compared between the two groups.Results After education,the levels of FPG,2 h PG and HbA1c in the two groups decreased,and those in observation group were lower than the control group(P<0.05).After education,the lifestyle improvements of the observation group were better than those of the control group(P<0.05).After education,CSSD70 scores in both groups increased,and those in the observation group were superior to the control group(P<0.05).After education,dietary knowledge,behavior and GQOL-74 scores in both groups increased,and those in the observation group were higher than the control group(P<0.05).Conclusion The multi-level health education focusing on nutritional diet and psychological education applied to elderly patients with diabetes mellitus can effectively control the symptoms of the disease,improve the lifestyle and quality of life,and has significant application value.