摘要
目的探讨授权健康教育对老年糖尿病患者生化指标和自我效能的影响,为选择适合老年糖尿病患者的健康教育模式提供理论依据。方法采用便利抽样法,选取2020年1—7月在首都医科大学附属北京友谊医院老年科门诊就诊的130例老年糖尿病患者为研究对象,按就诊时间将其分为干预组和对照组,每组65例。对照组给予常规健康教育,干预组实施授权健康教育。比较两组患者干预前和干预后3个月的血糖、血脂指标以及自我效能感得分。结果干预组干预后的糖化血红蛋白、三酰甘油水平低于对照组,差异有统计学意义(P<0.05);两组干预后的空腹血糖、餐后2 h血糖、低密度脂蛋白胆固醇水平比较,差异无统计学意义(P>0.05)。干预组干预后的自我效能感总分及策略性效能、执行力效能评分均高于对照组,差异有统计学意义(P<0.05)。结论授权健康教育较常规健康教育在提高老年糖尿病患者的自我效能感,尤其是对策略性效能、执行力效能方面有一定的效果,对改善老年糖尿病患者的部分临床生化指标有一定作用。
Objective To explore the effect of empowerment health education on the biochemical indicators and self-efficacy of elderly diabetic patients,so as to provide a theoretical basis for choosing a health education model suitable for elderly diabetic patients.Methods From January to July of 2020,convenience sampling was used to select 130 elderly diabetic patients who were treated in the Geriatric Outpatient Clinic of Beijing Friendship Hospital affiliated to Capital Medical University as the research object.All patients were divided into the intervention group and the control group according to the visit time,65 cases in each group.The control group conducted regular health education,and the intervention group implemented empowerment health education.The blood glucose,blood lipid indexes and self-efficacy scores of the two groups of patients before and three months after the intervention were compared.Results After intervention,the levels of glycosylated hemoglobin and triacylglycerol in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in fasting blood glucose,two hours postprandial blood glucose,and low-density lipoprotein cholesterol levels between the two groups after intervention(P>0.05).The total scores of self-efficacy and the scores of strategic efficacy,and executive efficacy of the intervention group after the intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Empowerment health education is more effective than conventional health education in improving the self-efficacy of elderly diabetic patients,especially in terms of strategic efficiency and executive efficiency,and has a certain effect of improving some clinical biochemical indicators of elderly diabetic patients.
作者
曹炜
王晶
王璄
王淑萍
林莉
卢玉
赵丹娜
王斗
赵真
Cao Wei;Wang Jing;Wang Jing;Wang Shuping;Lin Li;Lu Yu;Zhao Danna;Wang Dou;Zhao Zhen(Department of Geriatrics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中华现代护理杂志》
2021年第31期4313-4317,共5页
Chinese Journal of Modern Nursing
基金
首都医科大学附属北京友谊医院院启动基金项目(yyqdkt2019-59)。
关键词
老年人
糖尿病
授权健康教育
自我效能感
生化指标
Aged
Diabetes mellitus
Empowerment health education
Self-efficacy
Biochemical Indicators
