居民健康素养综合干预对糖尿病患者的疗效研究

The Effect of Comprehensive Intervention on the Health Literacy of the Residents on the Patients With Diabetes Mellitus

目的探讨居民健康素养综合干预对糖尿病患者疗效的影响,为实施居民健康素养综合干预提供理论依据。方法选取自2015-01/2016-06期间就诊的286例糖尿病患者,采用常规药物降糖的同时,实施居民健康素养综合干预措施。对比干预前后《中国公民健康素养调查问卷》的评估结果;对比干预前后的糖尿病知晓率、规范治疗率以及血糖控制率的情况;对比干预前后的血糖控制情况。结果干预后的受调查者具备健康基础知识和理念的比例为81.82%,具备健康生活方式和行为的比例为82.17%,具备健康技能的比例为81.82%,具备健康素养的比例为54.90%,均高于干预前(χ~2=3.849、15.674、33.567、69.864,P均<0.05);受试者干预后的糖尿病知晓率为77.97%,规范治疗率为60.84%,血糖控制率为37.06%,均显著高于干预前(χ~2=73.149、6.800、118.815,P均<0.05);干预后的空腹血糖为(6.18±1.37)mmol/L,餐后2 h血糖为(9.07±2.14)mmol/L,均显著低于干预前(t=6.617、10.823,P<0.05)。结论居民健康素养综合干预可显著提高糖尿病患者的健康素养水平,提高患者的依从性,更好地管理血糖。

Objective To explore the effect of comprehensive intervention on the health of the patients with diabetes mellitus,and to provide the theoretical basis for the implementation of the comprehensive intervention of the residents' health literacy. Methods 286 patients with diabetes mellitus who were treated in our hospital from January 2015 to June 2016 were selected The control group was treated with routine drugs,while the observation group was given the comprehensive intervention measures of health literacy. Compared the evaluated results of before and after intervention based on 'Chinese citizens' health literacy questionnaire'. Compared the rates of two groups of patients with awareness of diabetes mellitus,regular inspection and glycemic control before and after intervention. Results The rate of the two groups after the intervention of the basic health knowledge and ideas were 81. 82%,the rate of the two groups have a healthy lifestyle and behavior were 82. 17%,81. 82% with healthy skills,54. 90% with health literacy,higher than that before intervention(χ~2= 3. 849,15. 674,33. 567,69. 864,P < 0. 05); 77. 97% with awareness rate of diabetes mellitus,60. 84% with standard treatment,37. 06% with glycemic control,significantly higher than that before intervention(χ~2= 73. 149,6. 800,18. 815,P < 0. 05); the observation group after the intervention the fasting blood glucose was(6. 18± 1. 37) mmol/L,2 hours postprandial blood glucose for(9. 07 ± 2. 14) mmol/L,were significantly lower than those before the intervention and the control group(t = 6. 617,10. 823,P < 0. 05). Conclusion The comprehensive intervention of residents' health literacy can significantly improve the level of health literacy of diabetic patients,improve patient compliance,better management of blood glucose.