摘要
目的分析与探讨社区门诊中实施健康教育对老年2型糖尿病患者转归及并发症发生率的影响。方法选取该院于2018年4月—2019年4月间到该社区门诊就诊的老年2型糖尿病患者80例为研究对象,随机分为对照组和观察组,每组40例,其中对照组患者在药物治疗的基础上实施常规教育,观察组在药物治疗的基础上辅以健康教育,干预3个月后,比较两组患者空腹血糖、餐后2 h血糖、糖化血红蛋白等血糖值变化,遵医嘱行为及并发症发生率等情况。结果经干预3个月后,观察组空腹血糖(5.25±0.88)mmo/L、餐后2 h血糖(7.69±5.12)mmo/L、糖化血红蛋白(5.48±1.63)%,明显低于对照组各血糖值变化,两组比较差异有统计学意义(t=8.147、10.023、6.124,P<0.05);两组患者遵医行为中,观察组明显优于对照组,两组比较差异有统计学意义(P<0.05);两组患者经干预后并发症发生情况比较中,观察组并发症总发生率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论健康教育能有效地降低老年2型糖尿病患者的血糖水平,提高患者的遵医行为,且能有效降低患者的并发证发生率,值得推广。
Objective To analyze and explore the impact of health education in community clinics on the outcome and complication rates of elderly patients with type 2 diabetes.Methods 80 elderly patients with type 2 diabetes who visited the community clinic between April 2018 and April 2019 were selected as the research objects,and they were randomly divided into a control group and an observation group,with 40 cases in each group,of which the control group patients of the routine education were implemented on the basis of drug therapy.The observation group was supplemented with health education on the basis of drug therapy.After 3 months of intervention,the two groups of patients were compared with fasting blood glucose,2-hour postprandial blood glucose,glycosylated hemoglobin and other blood glucose changes,doctor’s order behavior and complication rate.Results After 3 months of intervention,fasting blood glucose(5.25±0.88)mmo/L,2 h postprandial blood glucose(7.69±5.12)mmo/L,and glycosylated hemoglobin(5.48±1.63)%of the observation group were significantly lower than those of the control group;the difference between the two groups was statistically significant(t=8.147,10.023,6.124,P<0.05);the observation group was significantly better than the control group in the compliance behavior of the two groups of patients,and the difference between the two groups was statistically significant(P<0.05);Comparing the incidence of complications after intervention between the two groups of patients,the total incidence of complications in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Health education can effectively reduce the blood glucose level of elderly patients with type 2 diabetes,improve the patient's compliance behavior,and effectively reduce the incidence of patients with complications,which is worthy of promotion.
作者
柯桂英
KE Gui-ying(Department of Medical Affairs,Urban Community Health Service Center,Changping District,Beijing,102200 China)
出处
《糖尿病新世界》
2020年第23期196-198,共3页
Diabetes New World Magazine
关键词
健康教育
社区
老年
2型糖尿病
Health education
Community
Old age
Type 2 diabetes
