知信行健康教育模式对2型糖尿病患者自我血糖监测能力的作用分析

Analysis of the effect of KAP education model on self-glycemic monitoring ability in patients with type 2 diabetes

目的研究知信行健康教育模式对2型糖尿病患者自我血糖监测能力的作用。方法选取2016年2月~2018年9月我院内分泌科收治的的150例糖尿病患者为本次研究对象。采用随机分配法,将患者平均分成对照组与实验组,各75例。均在我院内分泌科接受治疗。对照组给予常规健康教育模式,实验组在常规健康教育模式基础上采取知信行健康教育模式。对比两组空腹血糖值、自我血糖监测认知力以及护理满意度。结果实验组平均空腹血糖为(7.2±0.5)mmol/L,对照组平均空腹血糖为(8.1±0.5)mmol/L,实验组空腹血糖值控制显著低于对照组,差异有统计学意义(P<0.05);干预前,经测试两组患者的自我血糖监测认知评分无统计学意义(P>0.05),实验组干预后自我血糖监测认知评分显著高于对照组,差异有统计学意义(P<0.05);对照组护理满意度为90.67%,实验组护理满意度为98.67%,实验组护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论对2型糖尿病患者实施知信行健康教育模式在自我血糖监测方面作用突出,能有效提高患者自我血糖监测认知力,同时可有效控制空腹血糖值、减少并发症的发生,提高临床护理满意度。

Objective To study the effect of KAP health education model on self-glycemic monitoring ability in patients with type 2 diabetes. Methods A total of 150 diabetic patients admitted to the Department of Endocrinology in our hospital from February 2016 to September 2018 were enrolled. The patients were divided into control group(n=75)and experimental group(n=75) by random distribution method. All were treated in the Department of Endocrinology in our hospital. The control group was given a regular health education model, and the experimental group adopted the KAP health education model based on the regular health education model. The fasting blood glucose level, self-glycemic monitoring cognition and nursing satisfaction were compared between the two groups. Results The average fasting blood glucose of the experimental group was(7.2±0.5) mmol/L, and the average fasting blood glucose of the con trol group was(8.1±0.5) mmol/L. The control of fasting blood glucose in the experimental group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). Before intervention, the selfglycemic monitoring cognitive scores of the two groups tested were not statistically significant(P>0.05). After interven tion, the self-glycemic monitoring cognitive scores of the experimental group were significantly higher than those of the control group, and the difference was statistically significant(P<0.05). The nursing satisfaction of the control group was90.67%, and the satisfaction of the experimental group was 98.67%. The nursing satisfaction of the experimental group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). Conclusion The implementation of the KAP health education model in patients with type 2 diabetes has a prominent role in self-glycemic monitoring, which can effectively improve the self-glycemic monitoring cognition of patients. At the same time, it can effectively control the fasting blood glucose level, reduce the occurrence of complications, and improve the evaluation of clinical nursing satisfaction.