集体健康宣教对糖尿病患者遵医行为的影响

目的探讨集体健康宣教对糖尿病患者遵医行为的影响。方法选取本院2010年01月至2011年5月收治的糖尿病患者202例，随机分成两组，对照组101例给予常规健康教育，实验组101例在常规健康教育的基础上进行集体健康宣教，比较两组糖尿病患者在院外治疗期间的遵医行为。结果实验组在药物治疗、自我血糖监控、饮食运动、定期复查、健康生活习惯方面均明显好于对照组，遵医行为评价总分为（87．21±5．21）分，对照组遵医行为评价总分为（67．12±4．23）分。实验组两组的遵医行为评价差异具有显著性，t=34．2314，P〈O．05，有统计学意义；实验组的空腹血糖值、餐后2小时血糖值、糖化血红蛋白明显比对照组控制更为理想，差异具有显著性，P〈0．05。结论在常规健康教育的基础上进行集体健康宣教，可显著提高糖尿病患者的遵医行为，更好地控制血糖水平，值得临床进行推广。

Impact of group health education on compliance behavior in patients with diabetes

Objective To explore the impact of group health education on compliance behavior in patients with diabetes. Methods 202 patients with diabetes who had been treated during the period of January 2010 to May 2011 were randomly divided into two groups. The control group （101 patients） received conventional health education; while the study group （101 patients） received group health education in addition to conventional education. Compliance behavior was compared between the patients in the two groups who continued to receive treatment outside hospital. Results The study group was significantly better than the control group in uses of medication, self blood glucose monitoring, dietary and exercise, regular clinic visits, and health habits. The total score on compliance behavior assessment was （87.21 ± 5.21） in the study group and （67.12± 4.23） in the control group, with a significant difference （t = 34.2314, P〈O.05）. the control of fasting glucose, 2-hour postprandial blood glucose and glycated blood protein was better in the study group than in the control group, with a significant difference （P〈0.05）. Conclusions Group health education in addition to conventional education can significantly improve compliance behavior in patients with diabetes and has a better control of blood glucose levels. It is worth popularizing.