家属参与健康教育在2型糖尿病管理中的应用.pdfVIP

中华护理杂志 2012 年 4 月第 47 卷第4 期 Chin J Nurs , April 2012 , Vol 47 , No .4 • 313 • 家属参与健康教育在2型糖尿病管理中的应用 肖晓玲胡秋秋刘玉萍 {摘要] 目的 探讨家属参与健康教育在2型糖尿病患者管理中的应用效果方法 将100例2型糖尿病患者随机分为试验纽与 对照组，试验组在常规教育的基础上，采取家属参与教育模式;对照纽使用常规教育方法，对患者进行入院宣教、出院指导及随 访等。干预时间半年，观察两组患者干预前及干预6个月的空腹血糖、餐后2h血糖、糖化血红蛋白 (HbAlc)及自护行为能力的变 化。结果 教育后，试验组的空腹血糖、餐后2h血糖、HbAlc值均低于对照组，差异有统计学意义(P0.05) ; 试验组的自护行为能 力评分均高于对照纽，两组差异有统计学意义(PÜ.Ol )。结论 家属参与教育更有利于糖尿病患者血糖的控制，对患者自护行 为能力提高有明显促进作用，但在实施中要有针对性，注重患者和家属的个体化需求。 {关键词] 糖尿病，2型; 健康教育 EtTects of family involvement in health education for patients with type 2 diabetes店IAO Xiao-ling ,HU Qiu-qiu ,LIU Yu-ping (Abstract] Objec伽e To evaluate the effects of family involvement in health education for patients with type 2 diabetes mellitus. Methods One hundred patients with type 2 diabetes were randomly divided into two groups. The patients in the control group received conventional diabetes education ,while the patients in the experimental group receiving family involved health education for six months. The fasting blood glucose ,2h postprandial blood glucose ,glycosylated hemoglobin and self-care behaviors were measured before and after education. Results After education ,the patients fasting blood glucose ,2h postpran- dial blood glucose and glycosylated hemoglobin in the experimental group were significantly lower than those of the control group (P0.05). The score of self-care behaviors in the experimental group was significantly higher than that of the control group (PO.OI). Conclusions Family involvement in health education is more beneficialωthe blood glucose control and the improvement of self-care behaviors in patients with type 2 diabetes. (Key words] Diabetes Mellitlls ,Type 2; Health Education 健康教育是糖尿病治疗的五驾马车之一，被公认为糖 寻有效的糖尿病教育方式，提高糖尿病患者自护行为与疗 尿病治疗成败的关键[1]。家庭是社会支持的重要组成部分，家 效，我院对糖尿病患