摘要
[目的]探讨看图对话教育与基于授权理论的健康教育在2型糖尿病病人中的应用效果.[方法]选取2018年5月—2018年10月入住某三级甲等医院内分泌科的2型糖尿病病人作为研究对象.按入院时间将病人分为对照组、试验1组、试验2组,对照组43例,采用常规健康教育;试验1组44例,采用基于看图对话工具的小组式教育;试验2组43例,采用基于授权理论的一对一健康教育.比较3组病人干预前及干预后1个月、3个月的自我管理行为得分及血糖水平.[结果]病人空腹血糖存在时间×分组交互效应(F=4. 412,P=0. 015),3组病人干预后1个月空腹血糖比较,差异有统计学意义(F=10. 616,P=0. 000);病人餐后2 h血糖存在时间×分组交互效应(F=4. 278,P=0. 012),3组病人干预后3个月餐后2 h血糖比较,差异有统计学意义(F=6. 642,P=0. 002);病人自我管理行为得分存在时间×分组交互效应(F=13. 570,P<0. 001),3组病人干预后1个月(F=28. 886,P=0. 000)和干预后3个月(F=15. 569,P=0. 000)自我管理行为得分比较,差异均有统计学意义.[结论]看图对话教育、基于授权理论的健康教育在改善2型糖尿病病人的空腹血糖水平及自我管理行为方面效果相近且均优于常规健康教育,但干预相同数量病人时,看图对话教育比基于理论授权教育花费时间少.
Objective:To explore application effects between conversation map education and empowerment based health education in patients with type 2 diabetes.Methods:Inpatients with type 2 diabetes in endocrine department in a third grade A hospital from May 2018 to October 2018,were selected as the study objects.According to admission time,patients were divided into control group with 43 cases,experimental 1 group with 44 cases and experimental 2 group with 43 cases.Patients in control group received routine health education.Patients in experimental 1 group received education based on conversation map tool.And patients in experimental 2 group received one-to-one health education based on empowerment theory.The scores of summary of Diabetes Self Care Activities and level of blood glucose in 3 groups were compared before and 1 month,3 months after the intervention.Results:There was a interaction between time and group in fasting blood glucose(F=4.412,P=0.015).There was a statistically significant difference among the three groups in fasting blood glucose 1 month after intervention(F=10.616,P=0.000).There was a interaction between time and group in 2 hour postprandial blood glucose(F=4.278,P=0.012).There was a statistically significant difference among the three groups in 2 hour postprandial blood glucose 3 months after intervention(F=6.642,P=0.002).There was a interaction between time and group in scores of self management behavior(F=13.570,P<0.001).There was a statistically significant difference among the three groups in scores of self management behavior 1 month(F=28.886,P=0.000)and 3 months(F=15.569,P=0.000)after intervention.Conclusion:The effects of conversation map education and empowerment based health education based on empowerment theory on improving fasting blood glucose level and self-management behavior of type 2 diabetes patients were similar.And their effects were both better than that of routine health education.However,when the number of patients are equivalent,the costing time of conversation map education
作者
刘丽
谢仙萍
尉小芳
LIU Li;XIE Xianping;WEI Xiaofang(Shanxi Medical University,Shanxi 030001 China)
出处
《护理研究》
北大核心
2020年第6期983-988,共6页
Chinese Nursing Research
关键词
看图对话
授权
健康教育
自我管理
2型糖尿病
血糖
conversation map
empowerment
health education
self management
type 2 diabetes
blood glucose
