线上教育联合体验式教育对老年2型糖尿病患者服药依从性、自我效能及血糖控制效果的影响

Effects of online education combined with experiential education on medication compliance,self-efficacy,and glycemic control in elderly patients with type 2 diabetes mellitus

目的探讨线上教育联合体验式教育对老年2型糖尿病(T2DM)患者服药依从性、服药自我效能、血糖控制效果的影响。方法将88例老年T2DM患者按随机数字表法分为观察组(n=44)和对照组(n=44)。对照组患者接受糖尿病常规健康教育,观察组在此基础上增加线上教育联合体验式教育。采用中文版8条目Morisky用药依从性问卷(MMAS-8)、中文版糖尿病患者服药自我效能量表(CDMSS),分别评估两组患者的服药依从性、服药自我效能。比较两组干预前和干预3个月后服药依从性、服药自我效能和血糖控制效果。结果共3例患者因失访脱落,最终对照组患者42例,观察组患者43例。干预前,两组患者中文版MMAS-8、CDMSS评分,以及空腹血糖、餐后2小时血糖(2hPBG)、糖化血红蛋白(HbA1c)水平差异均无统计学意义(均P>0.05);干预3个月后,观察组患者中文版MMAS-8、CDMSS评分均高于对照组,观察组空腹血糖、2hPBG、HbA1c水平均低于对照组(均P<0.05)。结论线上教育联合体验式教育可提高老年T2DM患者的服药依从性、服药自我效能,改善血糖控制效果。

Objective To investigate the effects of online education combined with experiential education on medication compliance,medication self-efficacy,and glycemic control results in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 88 elderly patients with T2DM were divided into an observation group(n=44)or a control group(n=44)according to the random number table method.The patients in the control group received routine health education on diabetes,based on which the observation group received online education combined with experiential education.The Chinese Version of 8-item Morisky Medication Adherence Scale(MMAS-8)and the Chinese Version of Diabetes Medication Self-efficacy Scale(CDMSS)were used to evaluate the medication compliance and medication self-efficacy,respectively,of the two groups.The medication compliance,medication self-efficacy,and glycemic control results were compared between the two groups before the intervention and after 3 months of the intervention.Results A total of 3 patients fell out due to the loss of follow-up,and there were 42 patients in the control group and 43 patients in the observation group in the end.Before the intervention,there was no statistically significant difference in the Chinese Version of MMAS-8 score,CDMSS score,or the level of fasting blood glucose,2-hour postprandial blood glucose(2hPBG),or glycosylated hemoglobin(HbA1c)between the two groups(all P>0.05).After 3 months of the intervention,the scores of the Chinese Version of MMAS-8 and CDMSS in the observation group were higher than those in the control group,and the levels of fasting blood glucose,2hPBG,and HbA1c in the observation group were lower than those in the control group(all P<0.05).Conclusion Online education combined with experiential education can improve medication compliance,medication self-efficacy,and glycemic control results in elderly patients with T2DM.