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老年2型糖尿病患者2年健康教育的效果分析
引用本文:金福碧,郑和昕,林玲萍. 老年2型糖尿病患者2年健康教育的效果分析[J]. 中华护理杂志, 2012, 47(5): 448-450
作者姓名:金福碧  郑和昕  林玲萍
作者单位:310013杭州市,浙江医院内分泌科
摘    要:
目的 探讨2年的教育干预对老年2型糖尿病患者自护行为和代谢指标的影响.方法 将96例老年2型糖尿痛患者采用随机数字表法分为试验组和对照组各48例,进行为期2年的教育.两组均接受门诊及电话随访,结合患者的行为习惯,与其共同设立行为改变目标,定期评估目标达成情况;试验组每个季度召集患者进行集体活动,予以内容和形式多样的健康教育与行为干预.每年评价两组患者糖化血红蛋白、空腹和餐后2h血糖、三酰甘油、总胆固醇、体质指数及自护行为的改变情况.结果 干预2年时间后,试验组各项指标均好于对照组,差异有统计学意义(P<0.05).结论 持续的健康教育与行为干预能促使老年2型糖尿痛患者建立并维持良好的行为习惯,改善代谢指标.

关 键 词:糖尿病,2型  老年人  健康教育

Effects of a two-year health education program in elderly patients with type 2 diabetes
JIN Fu-bi , ZHENG He-xin , LIN Ling-ping. Effects of a two-year health education program in elderly patients with type 2 diabetes[J]. Chinese Journal of Nursing, 2012, 47(5): 448-450
Authors:JIN Fu-bi    ZHENG He-xin    LIN Ling-ping
Affiliation:JIN Fu-bi,ZHENG He-xin, LIN Ling-ping
Abstract:
Objective To evaluate the effect of a two-year health education program on the self-management behaviors and metabolic indices in elderly patients with type 2 diabetes.Methods Ninety-six elderly patients with type 2 diabetes were randomly divided into two groups.All patients visit the clinic and received telephone call regularly for two years,set up behavior changing goals according to their behavior habits,and the level of goal-achieving was evaluated.In addition,the patients in the experimental group participated in group activities with health education and behavioral intervention,quarterly. The level of HbA1c,fasting plasma glucose(FPG),2 hour postprandial plasma glucose(2hPG),plasma lipids profile,BMI and self-management behaviors were measured and compared between the two groups every year.Results After two-year health education,the index of blood glucose,plasma lipids profile,BMI and self-management behaviors in the experimental group were significantly better than those in the control group(P<0.05).Conclusion Continuous health education and behavioral intervention can help the elderly patients with type 2 diabetes to establish and maintain healthy behavior habits,and thereby to achieve better control of plasma metabolic indices.
Keywords:Diabetes Mellitus,Type 2  Aged  Health Education
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