健康意识的健康教育模式对糖尿病视网膜病变患者遵医行为、自护能力及生活质量的影响

Effect of Health Education Mode of Health Awareness on Compliance Behavior,Self-care ability and Quality of Life of Diabetic Retinopathy Patients

目的探讨糖尿病视网膜病变(diabetic retinopathy,DR)患者采取健康意识的健康教育模式对患者遵医行为、自护能力、生活质量的影响。方法选取2020年3月—2023年6月荣成市石岛人民医院收治的70例DR患者为研究对象,遵循随机数表法分成观察组和对照组,每组35例。对照组患者应用常规健康教育模式,观察组患者应用基于健康意识的健康教育模式。比较两组患者干预前后血糖水平,干预3个月的遵医行为评分,干预前与干预3个月患者自护能力(Exercise of Self-care Agency Scale,ESCA)与生活质量(World Health Organization Quality of Life,WHOQOL)评分。结果干预3个月,两组患者空腹血糖、餐后2 h血糖水平均低于干预前,且观察组血糖指标水平低于对照组,差异有统计学意义(P均<0.05);干预3个月,观察组遵医行为各项评分均高于对照组,差异有统计学意义(P均<0.05);干预3个月,两组患者ESCA、WHOQOL评分高于干预前,且观察组评分高于对照组,差异有统计学意义(P均<0.05)。结论采用健康意识的健康教育模式干预DR患者,可以降低患者血糖水平,明显提高患者的遵医行为及自护能力,并且提高患者生活质量。

Objective To explore the effects of health education mode on compliance behavior,self-care ability and quality of life of patients with diabetic retinopathy(DR).Methods 70 patients with DR admitted to Shidao People's Hospital of Rongcheng City from March 2020 to June 2023 were selected as the study objects,and were divided into observation group and control group according to random number table method,with 35 cases in each group.The con-trol group was treated with conventional health education mode,while the observation group was treated with health education mode based on health consciousness.The blood glucose levels before and after the intervention were com-pared between the two groups,and the scores of compliance behavior after 3 months of intervention were compared.Exercise of Self-care Agency Scale(ESCA)and World Health Organization Quality of Life(WHOQOL)scores of pa-tients before intervention and 3 months after intervention.Results After 3 months of intervention,fasting blood glu-cose and 2 h postprandial blood glucose levels in 2 groups were lower than before intervention,and the blood glucose index level in observation group was lower than that in control group,the differences were statistically significant(all P<0.05).After 3 months of intervention,the scores of compliance behavior in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After 3 months of interven-tion,the ESCA and WHOQOL scores of the two groups were higher than before intervention,and the scores of the ob-servation group were higher than those of the control group,the differences were statistically significant(both P<0.05).Conclusion Intervention of DR patients with health awareness health education mode can reduce the blood glucose level of patients,significantly improve the compliance behavior and self-care ability of patients,and improve the qual-ity of life of patients.