基于聚类分析的健康宣教在农村地区T2DM患者护理中的应用价值

The Application of Health Education Based on Cluster Analysis in the Nursing of T2DM Patients in Rural Areas

目的:探究基于聚类分析的健康宣教在农村地区2型糖尿病(T2DM)患者护理中的应用价值。方法:选取2018年6月-2019年9月本院收治的T2DM患者260例为研究对象。按随机数字表法将其分为干预组和对照组,各130例。对照组予以常规护理干预,干预组在对照组基础上予以基于聚类分析的健康宣教干预。比较干预前及干预2个月后两组患者血糖情况[空腹血糖(FPG)、餐后2 h血糖(2 h PG)]、糖尿病生存质量特异性量表(DSQL)评分、社会支持评定量表(SSRS)评分;比较干预2个月后两组患者治疗依从性及并发症发生情况。结果:干预2个月后,两组FPG、2 h PG水平、DSQL各项评分及总分均较干预前显著降低,且干预组上述指标均明显低于对照组,差异均有统计学意义(P<0.05)。干预2个月后,两组患者SSRS各项评分及总分均较干预前显著升高,且干预组上述评分均明显高于对照组,差异均有统计学意义(P<0.05)。干预2个月后,干预组依从率为92.31%,高于对照组的82.31%,差异有统计学意义(P<0.05)。干预2个月后,干预组的并发症发生率为4.62%,与对照组的6.15%比较,差异无统计学意义(P>0.05)。结论:基于聚类分析的健康宣教干预可良好控制患者血糖情况,改善其生活质量,提升其社会支持度,并显著提升其治疗依从性。

Objective:To explore the application value of health education based on cluster analysis in the nursing of patients with type 2 diabetes mellitus(T2DM)in rural areas.Method:A total of 260 patients with T2DM admitted to our hospital from June 2018 to September 2019 were selected as study subjects.According to the random number table method,they were divided into intervention group and control group,130 cases in each group.The control group received routine nursing intervention,the intervention group received health education intervention based on cluster analysis on the basis of the control group.Blood glucose(FPG),diabetes quality-of-life specific scale(DSQL),and social support Rating scale(SSRS)were compared between the two groups before and 2 months after intervention.Treatment compliance and complications were compared between the two groups after 2 months of intervention.Result:After 2 months of intervention,FPG and 2 h PG levels,DSQL scores and total scores in both groups were significantly lower than those before intervention,and the above indicators in the intervention group were significantly lower than those in the control group,with statistically significant differences(P<0.05).After 2 months of intervention,all SSRS scores and total scores of patients in both groups were significantly higher than those before intervention,and the above scores in the intervention group were significantly higher than those in the control group,with statistically significant differences(P<0.05).After 2 months of intervention,the compliance rate of the intervention group was 92.31%,higher than 82.31%of the control group,the difference was statistically significant(P<0.05).After 2 months of intervention,the incidence of complications in the intervention group was 4.62%,compared with 6.15%in the control group,the difference was not statistically significant(P>0.05).Conclusion:The health education intervention based on cluster analysis can control the blood glucose of patients,improve their quality of life,enhance their social support,and significantly improve their treatment compliance.