摘要
目的探讨全程个体化教育联合回授法在老年糖尿病患者糖尿病知识水平、自我管理能力和出院指导质量中的应用效果,为老年糖尿病患者的健康管理提供参考依据。方法选取2022年1—8月在百色市右江民族医学院附属医院内分泌科住院的81例老年糖尿病患者为研究对象,其中2022年1—4月入院的40例患者为对照组,2022年5—8月入院的41例患者为观察组。对照组采用常规护理教育,患者入院后按照内分泌科糖尿病的护理常规进行疾病护理,由责任护士进行常规护理及健康教育,内容包括入院宣教、用药指导、饮食护理、运动指导、血糖监测及出院指导等。观察组采用全程个体化教育联合回授法进行健康教育,健康教育方式是根据患者不同的个体情况及需求而选取符合的教育手段及措施,并采用回授法加强教育效果,两组患者均干预至出院。对比两组老年糖尿病患者的糖尿病知识水平、自我管理能力得分和出院指导质量评分。结果干预前,两组患者糖尿病知识水平得分比较,差异无统计学意义(P>0.05),干预后,观察组高于对照组,差异具有统计学意义(P<0.05);干预前,两组患者的糖尿病自我管理能力得分比较,差异无统计学意义(P>0.05),干预后,观察组高于对照组,差异具有统计学意义(P<0.05)。观察组患者的出院指导质量得分高于对照组,差异具有统计学意义(P<0.05)。结论对老年糖尿病患者实施全程个体化教育联合回授法干预可以有效提高患者的糖尿病知识水平和自我管理能力,提高出院指导质量,有利于加强对老年糖尿病患者的健康管理。
Objective To explore the application effect of whole individualised education combined with teach-back method in the knowledge level of diabetes mellitus,self-management ability and the quality of discharge guidance of elderly diabetes mellitus patients,to provide reference basis for the health management of elderly diabetes mellitus patients.Methods 81 cases of elderly diabetic patients admitted in the Department of Endocrinology of the Affiliated Hospital of Youjiang Medical University For Nationalities in Baise from January to August 2022 were selected as the study subjects,40 patients admitted from January to April 2022 were set as the control group and 41 patients admitted from May to August 2022 were the observation group.In the control group,routine nursing education was adopted,nursing activities were given to the patients according to the nursing routine of endocrinology diabetes after admission to the hospital,and the responsible nurses carried out routine nursing care and health education,which included admission education,medication guidance,dietary care,exercise guidance,blood glucose monitoring,and guidance for discharge,etc.In the observation group,individualised education was adopted throughout the study.In the observation group,the whole individualised education combined with the teach-back method was used for education,the health education method was based on the different individual conditions and needs of the patients,and the teach-back method was used to strengthen the effect of education,and both groups intervened until the patients were discharged from the hospital.The knowledge level of diabetes,self-management ability score and discharge guidance quality score were compared between the two groups of elderly patients with diabetes mellitus.Results Before intervention,there was no statistically significant difference between the diabetes knowledge scores of the two groups(P>0.05),but after intervention,the observation group was higher than the control group,with a statistically significant
作者
季红运
蒙连新
吴娜
李爽旗
欧玉娜
韦巧丽
JI Hongyun;MENG Lianxin;WU Na;LI Shuangqi;OU Yuna;WEI Qiaoli(Affiliated Hospital of Youjiang Medical University For Nationalities,Baise 533000,China)
出处
《护理实践与研究》
2024年第8期1248-1253,共6页
Nursing Practice and Research
基金
百色市科学技术局科学研究与技术开发计划课题(编号:百科20211117)
右江民族医学院附属医院高层次人才科研项目(编号:R20196348)。
关键词
个体化教育
回授法
老年糖尿病
知识水平
出院指导质量
Individualised education
Teach-back method
Geriatric diabetes mellitus
Knowledge level
Quality of discharge instructions
