行为改变措施联合健康教育应用于2型糖尿病合并脑梗死患者的效果

The Effect of Behavior Change Measures Combined with Health Education in Patients with Type 2 Diabetes and Cerebral Infarction

目的研究2型糖尿病(type 2 diabetes mellitus,T2DM)+脑梗死(cerebral infarction,CI)患者接受行为改变措施+健康教育后的综合作用效果。方法选择该院2019年1月—2020年1月收治的100例T2DM+CI患者进行行为改变措施+健康教育效果研究,将T2DM+CI患者分为对照组(50例,传统健康教育模式)和观察组(50例,行为改变措施+健康教育)。比较两组血糖控制健康知识评分、自我效能行为能力评分、血糖指标、NIHSS评分、ADL评分、满意度。结果干预后,观察组T2DM+CI患者血糖控制健康知识评分、自我效能行为能力评分、ADL评分及满意度高于对照组,差异有统计学意义(P<0.05);干预后,观察组T2DM+CI患者血糖指标、NIHSS评分低于对照组,差异有统计学意义(P<0.05)。结论T2DM+CI患者临床治疗期间需要接受行为改变措施+健康教育联合干预措施,改变其行为与认知情况,才能够有效提高其依从情况与满意度,显著改善血糖指标以及独立生活能力,起到更加积极的干预作用。

Objective To study the combined effects of type 2 diabetes mellitus(T2DM)+cerebral infarction(CI)patients receiving behavioral change measures+health education.Methods 100 cases of T2DM+CI patients admitted to this hospital from January 2019 to January 2020 were selected for behavior modification measures+health education effects research.The T2DM+CI patients were divided into a control group(50 cases,traditional health education model)and an observation group(50 cases,behavior change measures+health education).Compared the two groups of blood glucose control health knowledge score,self-efficacy behavior ability score,blood glucose index,NIHSS score,ADL score,satisfaction.Results After the intervention,the blood glucose control health knowledge score,self-efficacy behavior ability score,ADL score and satisfaction degree of the observation group of T2DM+CI patients were higher than those of the control group,and the difference was statistically significant(P<0.05).After the intervention,the blood glucose index and NIHSS score of T2DM+CI patients in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion During the clinical treatment of T2DM+CI patients,they need to accept behavioral change measures+health education joint intervention measures to change their behavior and cognition,in order to effectively improve their compliance and satisfaction,significantly improve blood glucose indicators and independent living ability,and achieve more active intervention effect.