模块教育对老年糖尿病患者自我注射教育效果的评价

Evaluation of modular education on the eff ect of self-injection education in elderly diabetic patients

目的探讨模块教育对老年糖尿病患者自我注射教育效果的影响。方法选择2018年11月—2019年11月医院收治的80例老年糖尿病患者为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组各40例。对照组采取常规教育,观察组在常规教育的基础上实施模块教育,两组干预3个月。比较两组胰岛素注射知识知晓率和各项生化指标,采用糖尿病患者自我管理行为量表(SDSCA)评价老年糖尿病患者的自我管理能力。结果观察组胰岛素自我注射知识掌握率为95.00%,高于对照组的80.00%,干预后观察组糖尿病患者SDSCA评分为39.99±4.25分,高于对照组的28.96±4.19分;干预后,观察组空腹血糖、餐后2 h血糖、糖化血红蛋白和甘油三酯均低于对照组,组间比较差异具有统计学意义(P<0.05)。结论模块教育能够提高老年糖尿病患者自我注射教育效果及自我管理能力,有助于维持血糖、血脂水平稳定。

Objective To explore the ef fect of modular education on the ef fect of self-injection education in elderly diabetic patients.Methods To select 80 elderly diabetic patients admitted to the hospital from November 2018 to November 2019 as the study objects,and they were divided into a control group and an observation group with 40 cases in each group according to the principle of balance and comparability of the basic characteristics between the groups.The control group was given routine education,the observation group was given modular education on the basis of routine education,and the two groups were intervened for 3 months.The knowledge awareness rate of insulin injection and various biochemical indicators were compared between the two groups,and summary of diabetes self care activities(SDSCA)was used to evaluate the self-management ability of elderly diabetic patients.Results The knowledge mastery rate of insulin self-injection in the observation group was 95.00%,which was higher than 80.00%in the control group.After intervention,the SDSCA score in the observation group was 39.99±4.25 points,which was higher than 28.96±4.19 points in the control group.After intervention,the fasting blood glucose,2 hours postprandial blood glucose,glycated hemoglobin and triglyceride in the observation group were lower than those in the control group.The dif ference between the two groups was statistically signifi cant(P<0.05).Conclusion Module education can improve the ef fect of self-injection education and self-management ability in elderly diabetic patients,and help maintain the stability of blood sugar and blood lipid levels.