应用健康教育路径对住院糖尿病患者服药依从性的影响

目的探讨应用健康教育路径对住院糖尿病患者服药依从性的影响。方法选取160例住院糖尿病患者并将其随机分为两组,80例采用传统健康教育的患者作为对照组,80例应用健康路径进行健康教育的患者作为观察组,观察比较两组患者健康教育前后对糖尿病相关知识掌握程度、服药依从性及血糖控制的情况。结果两组患者健康教育前糖尿病相关知识掌握比较,差异无统计学意义(P>0.05),但观察组患者健康教育后各项知识评分均明显高于对照组(P<0.05);两组患者健康教育前服药依从性比较,差异无统计学意义(P>0.05),但出院后6个月内,观察组患者62例(77.50%)服药依从性佳,对照组45例(56.25%)服药依从性佳,两组比较差异有统计学意义(P<0.05)。两组患者健康教育前空腹血糖及餐后2 h血糖比较差异无统计学意义(P>0.05),观察组出院后6个月空腹血糖及餐后2 h血糖明显低于对照组,两组差异有统计学意义(P<0.05)。结论应用健康教育路径对住院糖尿病患者进行健康教育,可提高患者对糖尿病知识掌握程度,提高服药依从性,从而使血糖得到更好的控制。

Influence of health education path on medication adherence of hospitalized diabetic patients

Objective To evaluate the influence of health education path on medication adherence of hospitalized diabetic patients.Methods 160 hospitalized diabetic patients were randomly divided into two groups,80 cases were treated with traditional health education as control group,80 patients were treated with healthy path to health education as observation group,diabetes relevant degree of knowledge,medication adherence and glycemic control of two groups were observed and compared before and after health education.Results There was no significant difference on diabetes-related knowledge of two groups before health education（P 0.05）,but the knowledge score of observation group was significantly higher than that of control group after health education（P 0.05）;There was no significant difference on medication compliance of two groups before health education（P 0.05）,but within six months after discharge,there were 62 cases（77.50%） had good medication compliance in the observation group,there were 45 cases（56.25%） had had good medication compliance in the control group,there was significant difference（P 0.05）.There was no significant difference on fasting glucose and 2 h postprandial blood glucose of two groups before health education（P 0.05）,but after hospital discharge of 6 months,the fasting blood glucose and 2 h postprandial blood glucose of two groups was significantly lower than that of the control group,the difference was statistically significant（P 0.05）.Conclusion Health education path for health education of hospitalized patients with diabetes can improve the mastery of the patients on the diabetes knowledge,and improve medication compliance,so the blood sugar get better control.