“知信行”健康教育对老年糖尿病患者护理中遵医 行为的影响

Influence of"Knowledge,Belief and Action"Health Education on Compliance Behavior in Nursing of Elderly Diabetic Patients

目的探讨“知信行”健康教育对老年糖尿病患者护理中遵医行为的影响。方法选取2019年6月—2020年6月在该院接受治疗80例老年糖尿病患者作为研究对象,按照不同的干预模式将所有研究对象分为对照组(n=40)与研究组(n=40),对照组实施常规健康干预模式。研究组实施“知信行”健康教育干预模式。比较两组患者的遵医行为以及干预前后的血糖与糖化血红蛋白水平、疾病认知度评分。结果两组患者干预前空腹血糖水平、餐后2 h血糖水平以及糖化血红蛋白水平差异无统计学意义(P>0.05),干预后研究组空腹血糖水平(6.12±0.49)mmol/L、餐后2 h血糖水平(6.67±0.73)mmol/L以及糖化血红蛋白水平(6.14±0.82)%均明显低于对照组(7.23±0.45)mmol/L、(7.90±0.56)mmol/L、(7.69±0.43)%,差异有统计学意义(t=10.552、8.455、10.588,P<0.05);对照组遵医行为依从率为75.00%,低于研究组的92.50%,差异有统计学意义(χ^(2)=4.501,P<0.05);两组患者干预前知晓空腹血糖水平正常值、知晓糖尿病可控制、无显著症状也许检测血糖、控制饮食对疾病的影响、控制饮食对疾病的影响评分比较,差异无统计学意义(P>0.05);干预后研究组知晓空腹血糖水平正常值(8.76±1.21)分、知晓糖尿病可控制(9.12±1.17)分、无显著症状也需检测血糖(9.14±1.35)分、血糖正常也服用降糖药物(8.77±1.94)分、控制饮食对疾病的影响评分(9.41±1.26)分明显高于对照组,差异有统计学意义(t=3.263、3.319、4.213、2.472、3.116,P<0.05)。结论对老年糖尿病患者实施“知信行”健康教育,能有效地控制患者的血糖水平,提高患者的遵医行为。

Objective To explore the influence of"knowledge,faith and action"health education on the compliance behavior of elderly diabetic patients.Methods Selected 80 elderly diabetic patients who were treated in the hospital from June 2019 to June 2020 as the research objects.According to different intervention models,all the research objects were divided into a control group(n=40)and an study group(n=40),the control group implemented a routine health intervention model.The study group implemented the"Knowledge,Belief and Action"health education intervention model.The compliance behaviors of the two groups of patients,blood glucose and glycosylated hemoglobin levels before and after intervention,and disease awareness scores were compared.Results There was no statistically significant difference in fasting blood glucose levels before intervention,2 h postprandial blood glucose levels,and glycosylated hemoglobin levels between the two groups of patients(P>0.05).After intervention,the study group had fasting blood glucose levels(6.12±0.49)mmol/L and 2 h postprandial blood glucose(6.67±0.73)mmol/L and glycosylated hemoglobin(6.14±0.82)%were significantly lower than those of the control group(7.23±0.45)mmol/L,(7.90±0.56)mmol/L,(7.69±0.43)%,the difference was statistically significant(t=10.552,8.455,10.588,P<0.05);the compliance rate of the control group was 75.00%,which was lower than the study group’s 92.50%,the difference was statistically significant(χ^(2)=4.501,P<0.05);before the intervention,the two groups of patients knew the normal value of fasting blood glucose level,knew that diabetes could be controlled,had no significant symptoms,maybe tested blood sugar,controlled diet’s influence on disease,and compared the scores of controlled diet’s influence on disease,there was no statistically significant difference(P>0.05);after the intervention,the study group knew that the fasting blood glucose level was normal(8.76±1.21)points,knew that diabetes was controllable(9.12±1.17)points,had no significant symptoms,also needed to test blood glucose(9.14±1.35)points,and normal blood sugar also neaded to take hypoglycemic drugs,the scores of impact(8.77±1.94)points and the impact of diet control on disease(9.41±1.26)points scores were significantly higher than those of the control group,and the difference was statistically significant(t=3.263,3.319,4.213,2.472,3.116,P<0.05).Conclusion The implementation of"knowledge,faith and action"health education for elderly diabetic patients can effectively control the patient's blood glucose level and improve the patient's compliance behavior.