健康教育对糖尿病患者服药依从性及治疗的影响

Influence of health education on medication compliance and treatment of diabetic patients

目的 分析健康教育对糖尿病患者服药依从性以及治疗的临床影响,为提高糖尿病患者对疾病及健康保健知识认知率提供帮助。方法 选取2020年1月—2021年3月该辖区内的98例糖尿病患者作为研究对象,经随机双盲法分为对照组和观察组各49例,对照组给予常规健康教育模式,观察组给予针对性健康教育模式。比较两组患者干预前后血糖水平变化以及服药依从性、治疗效果。结果 干预后,两组空腹血糖和餐后2 h血糖均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组服药依从性比率为91.84%,高于对照组的77.55%,差异有统计学意义(P<0.05)。观察组治疗总有效率为93.88%,高于对照组的77.55%,差异有统计学意义(P<0.05)。结论 与常规健康教育模式比较,对糖尿病患者实施的针对性健康教育模式效果更佳,可有效改善患者对治疗疾病的依从性,积极维持血糖稳定,从而提高治疗效果,对控制糖尿病患者病情发展、抑制并发症有着重要临床意义,值得临床推广应用。

Objective To analyze the clinical impact of health education on medication compliance and treatment of diabetic patients, so as to provide help for improving diabetic patients’ cognition rate of diseases and health care knowledge. Methods From January 2020 to March 2021, 98 diabetic patients in the area were selected as subjects and divided into control group and observation group with 49 cases in each group according to randomized double-blind method. The control group was given routine health education mode, and the observation group was given targeted health education mode. The changes of blood glucose level, medication compliance and treatment effect were compared between the two groups before and after intervention. Results After the intervention, the fasting blood glucose and 2 h postprandial blood glucose in the two groups were lower than those before the intervention, and the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). The medication compliance of the observation group was 91.84%, which was higher than 77.55% of the control group, and the difference was statistically significant(P<0.05). The total effective rate of the observation group was 93.88%, which was higher than 77.55% of the control group, and the difference was statistically significant(P <0.05).Conclusion Compared with the routime health education mode, the targeted health education model for diabetic patients had better effect, which could effectively improve the compliance of patients with treatment diseases, and maintain blood glucose stability, thereby improving the therapeutic effect. It had important clinical significance for controlling the development of diabetes patients and inhibiting complications, and was worthy of clinical promotion and application.