微视频联合情境体验式健康教育对老年糖尿病患者衰弱和自我管理行为的影响

Effects of micro video combined with situational experience on frailty and self-care activities in elderly diabetic patients

目的探讨微视频联合情境体验式健康教育在老年糖尿病患者中的应用。方法采用便利抽样法,选取2018年1—12月浙江大学医学院附属邵逸夫医院收治的老年2型糖尿病合并衰弱的出院患者100例,按照随机数字表法分为试验组和对照组各50例。对照组接受常规健康教育,试验组给予微视频联合情境体验式健康教育。采用中文版Tilburg衰弱量表和中文版糖尿病患者自我管理行为量表评价干预效果。结果最终试验组纳入45例,对照组纳入47例。干预前2组各项观察指标比较差异无统计学意义(均P>0.05)。干预后试验组躯体衰弱、心理衰弱、社会衰弱维度得分及衰弱总分分别为(2.60±1.19)、(1.24±0.87)、(1.11±0.83)、(4.96±1.76)分,明显低于对照组的(3.45±1.18)、(1.96±0.86)、(2.06±0.79)、(7.47±1.57)分,差异有统计学意义(t值为3.32~7.23,均P<0.01);试验组饮食控制、规律锻炼、血糖监测、足部护理、遵医嘱用药维度得分及自我管理行为总分分别为(20.36±2.22)、(12.02±2.33)、(5.07±0.81)、(9.98±1.99)、(7.53±1.10)分和(54.96±4.49)分,明显高于对照组的(18.96±2.12)、(10.47±2.24)、(3.85±0.83)、(8.62±1.69)、(6.60±1.12)分和(48.49±4.07)分,差异有统计学意义(t值为3.10~7.25,均P<0.01)。结论微视频联合情境体验式健康教育可改善老年糖尿病患者衰弱程度,提高其自我管理行为。

Objective To investigate the effects of micro video combined with situational experience health education program in elderly diabetic patients.Methods Totally,100 elderly diabetic patients were enrolled from January to December in 2018 in Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine.They were assigned to experimental group(n=50)and control group(n=50)by random number table.The control group received routine health education,while the experimental group received micro video combined with situational experience health education program.The intervention effects were assessed by Chinese version of Tilburg Frailty Indicator and Summary of Diabetes Self Care Action.Results Finally,45 cases were included in the experimental group and 47 cases in the control group.There was no significant difference between the two groups before intervention(P>0.05).After intervention,the scores of physical frailty,psychological frailty,social frailty and total frailty were(2.60±1.19)points,(1.24±0.87)points,(1.11±0.83)points and(4.96±1.76)points in the experimental group,significantly lower than in the control group(3.45±1.18)points,(1.96±0.86)points,(2.06±0.79)points and(7.47±1.57)points.The difference was statistically significant(t values were 3.32-7.23,P<0.01);the scores of diet,exercise,blood glucose monitoring,medication,foot care dimension and total self-care activities were(20.36±2.22)points,(12.02±2.33)points,(5.07±0.81)points,(9.98±1.99)points,(7.53±1.10)points and(54.96±4.49)points in the experimental group,significantly higher than in the control group(18.96±2.12)points,(10.47±2.24)points,(3.85±0.83)points,(8.62±1.69)points,(6.60±1.12)points and(48.49±4.07)points.the difference was statistically significant(t values were 3.10-7.25,P<0.01).Conclusions Micro video combined with situational experience can improve frailty status and self-care activities in elderly patients with diabetes.