《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (10): 977-979.

• 临床研究 • 上一篇    下一篇

老年糖尿病患者的健康教育及影响因素

樊景海; 闫和美   

  1. 山东省青岛疗养院,山东青岛市 266071
  • 收稿日期:2008-08-14 出版日期:2008-10-01 发布日期:2008-10-01

Effect of Health Education on Old Patients with Diabetes Mellitus and Influencing Factors

FAN Jing-hai, YAN He-mei   

  1. Qingdao Sanatorium of Shandong Province, Qingdao 266071, Shandong, China
  • Received:2008-08-14 Published:2008-10-01 Online:2008-10-01

PDF (PC)

摘要： 目的调查糖尿病患者糖尿病相关知识的掌握情况,分析影响糖尿病健康教育效果的因素。方法对156例老年2型糖尿病患者在原有糖尿病治疗方案的基础上每月进行一次糖尿病教育(半年后每3个月1次),记录患者接受教育的频率,并检测空腹血糖(FBG)、餐后2h血糖(P2hBG)及糖化血红蛋白(HbA1c)的变化。结果接受强化教育的患者由入选时的156人逐渐减少至1年时的33人,依从率仅21.2%;32例数据完整的患者的资料显示,糖尿病教育后FBG和P2hBG下降(均P<0.01),但HbA1c无明显变化。结论健康教育有助于提升治疗效果,但患者的依从性较低,影响糖尿病教育的开展。

关键词: 糖尿病, 健康教育, 影响因素

Abstract: Objective To investigate the diabetes mellitus(DM) related knowledge of DM patients and analyze the factors influencing health education effect.Methods Besides drug treatment,156 old patients with type 2 DM received intensive diabetes education(special lectures on diabetes control) every month for the first half a year,then once every 3 months to 1 year.The frequency receiving intensi000ve education of patients was recorded and changes of fast blood glucose(FBG),postprandial 2 hours blood glucose(P2hBG) and HbA1c were monitored.Results The number of patients receiving intensive education decreased from 156 at start to 33 at the 12th month,the compliance rate was only 21.2%.The full data of 32 cases showed that the levels of FBG and P2hBG decreased significantly(all P<0.01),but the level of HbA1c was no changed.Conclusion Health education can improve the therapeutic effect,but the compliance rate of patients is very low,it influences the health education effect of DM patients.

Key words: diabetes mellitus, health education, influencing factor