摘要
目的:探析对社区2型糖尿病患者实施健康宣教联合饮食护理的效果。方法:将2018年3月至2019年8月期间在上海市闵行区吴泾社区卫生服务中心接受医疗服务的70例2型糖尿病患者随机平均分为Control组和Research组。对两组患者实施常规治护。在此基础上,对Research组患者实施健康宣教联合饮食护理。然后,比较两组患者的疗效、对自身疾病认知水平的评分、空腹血糖的水平、糖化血红蛋白的水平、餐后2 h血糖的水平、合理饮食评分、自我监测评分、情绪控制评分及运动情况评分。结果:治护后,Research组患者治护的总有效率高于Control组患者,P<0.05。治护前,两组患者对自身疾病认知水平的评分相比,P>0.05。治护后,Research组患者对自身疾病认知水平的评分高于Control组患者,P<0.05。治护前,两组患者空腹血糖的水平、糖化血红蛋白的水平及餐后2 h血糖的水平相比,P>0.05。治护后,Research组患者空腹血糖的水平、糖化血红蛋白的水平及餐后2 h血糖的水平均低于Control组患者,P<0.05。治护后,Research组患者的合理饮食评分、自我监测评分、情绪控制评分及运动情况评分均高于Control组患者,P<0.05。结论:对社区2型糖尿病患者实施健康宣教联合饮食护理的效果显著,可提高其对自身疾病认知的水平,改善其遵医行为及血糖的水平。
Objective:To explore the effect of health education combined with diet nursing in community type 2 diabetes patients.Methods:70 patients with type 2 diabetes who received medical services in Wujing Community Health Service Center,Minhang District,Shanghai from March 2018 t o August 2019 were randomly divided into Control group and Research group on average.Two groups of patients were given routine treatment and care.On this basis,health education and diet nursing were carried out for patients in the Research group.Then,the two groups were compared in terms of efficacy,cognitive scores for their own diseases,fasting glucose levels,glycated hemoglobin levels,blood glucose levels at 2 h after meals,rational diet scores,self-monitoring scores,mood control scores,and exercise scores.Results:After treatment and care,the total effective rate of patients in the Research group was higher than that in the Control group(P<0.05).Before the treatment and care,the scores of the two groups of patients on their own disease cognition level were compared,P>0.05.After treatment and care,the cognitive level of patients in the Research group was higher than that in the Control group(P<0.05).Before treatment and care,the fasting blood glucose level,hba1c level and blood glucose level 2 h after meal were compared between the two groups,and P>0.05.After treatment and care,the fasting blood glucose,hBA1c and 2-h postprandial blood glucose levels in the Research group were all lower than those in the Control group(P<0.05).After treatment and care,rational diet score,self-monitoring score,emotional Control score and exercise score of patients in the Research group were all higher than those in the Control group(P<0.05).Conclusion:The effect of health education combined with diet nursing in community patients with type 2 diabetes is significant,which can improve their cognition level of their own disease,improve their compliance behavior and blood glucose level.
作者
高莉莉
黄娟
Gao Lili;Huang Juan(Wujing Community Health Service Center,Minhang District,Shanghai 201109)
关键词
社区卫生服务中心医疗服务
健康宣教
饮食护理
2型糖尿病
Community health service center medical service
Health education
Dietary care
Type 2 diabetes
