实施健康教育对2型糖尿病患者的作用分析

目的探讨健康教育和强化健康教育是否可以提高2型糖尿病患者的糖尿病知识积分(DKN)水平;研究强化健康教育与常规健康教育的区别;探讨对患者强化教育在糖尿病的胰岛素治疗中的作用。方法采用随机抽样的方法,抽取100例2型糖尿病患者,随机分为观察组和对照组。对观察组在常规的胰岛素健康教育后,有针对性地进行个体强化教育;对对照组仅进行常规的糖尿病健康教育。出院时记录两组的血糖值、住院时间、胰岛素用量,出院半年后记录其DKN评分,出院后6个月进行血糖稳定性及疾病复发后的住院病人的DKN评分。结果两组病人在住院期间,血糖达到较好控制时,患者有关糖尿病知识积分观察组明显高于对照组(P<0.005);在住院天数方面观察组明显少于对照组(P<0.005);出院半年后随访观察,观察组的血糖稳定率明显高于对照组(P<0.005)。结论健康教育可以提高2型糖尿病患者的DKN水平;强化健康教育更能提高2型糖尿病患者的DKN水平;强化健康教育较常规教育更能提高糖尿病胰岛素治疗患者有关糖尿病的知识水平;强化健康教育可有效地控制2型糖尿病病人的血糖值、缩短住院治疗时间、减少药物用量、减低复发率、提高治疗效果。

Effects of Health Education for Type 2 Diabetic Patients

Objective To explore whether DKN of patients with diabetes mellitus(DM) can be increased by ordinary health education and intensive health education; to compare ordinary health education and intensive health education;and to evaluate the effect of intensive health education on insulin treatment for DM patients.Methods A total of 100 patients with type 2 DM were randomized into observation group and control group.The intervention group received intensive health education individually after receiving ordinary education while the control group only received ordinary health education on DM.Upon admission the patients' blood glucose(BG),admission time and insulin dosage of the two groups were recorded.DKN score was recorded,BG stability and DKN level of the inpatients with relapsed disease were evaluated six months after they were discharged from hospital.Results BG level was under control in the two groups;observation group had significantly higher DKN and shorter hospitalization duration than control group (P<0.005).After follow-up half year later,BG was significantly more stable in intervention group than in control group(P<0.005).Conclusion Health education can improve DKN level of patients with type 2 DM.Intensive health education has better effects than ordinary health education in improving patients' DKN level and effectively controlling BG,shorting hospitalization duration,reducing drug dosage,reducing relapse rate,and enhancing therapeutic effects.