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目的探讨糖尿病患者健康行为改变对血糖控制的影响。方法糖尿病患者126例,按照入院编号随机均分为对照组和研究组,对照组采取常规健康教育,研究组在此基础上加强其血糖自我监测管理、饮食控制、运动锻炼和药物指导等行为改变,共2周。采用自制问卷调查表调查规律运动、饮食控制、药物治疗和自我病情监测等遵医嘱行为情况,检测患者的空腹血糖、餐后2 h血糖及糖化血红蛋白水平,以SPSS21.0软件进行统计分析。结果研究组的规律运动、饮食控制、药物治疗和自我病情监测等遵医嘱行为得分高于对照组,差异有统计学意义(均P<0.05);干预前两组空腹血糖、餐后2 h血糖及糖化血红蛋白水平比较,均P>0.05;干预后研究组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均明显下降,且与对照组比较差异有统计学意义(均P<0.05)。结论糖尿病患者加强行为方式改变的护理干预,能显著提升患者治疗依从性,促使其行为方式良性改变,使其血糖得到较好控制。
Objective To investigate the effect of changes in health behaviors on the control of blood glucose in diabetic patients. Methods A total of 126 patients with diabetes mellitus were randomly divided into control group and study group according to the hospital admission number. The control group took routine health education. On the basis of this, the research group strengthened the behavioral changes such as self-monitoring and management of blood glucose, diet control, exercise training and drug guidance , A total of 2 weeks. The self-made questionnaire was used to investigate compliance behavior such as regular exercise, diet control, medication and self-condition monitoring. The fasting blood glucose, postprandial 2-hour postprandial blood glucose and HbA1c were measured and analyzed by SPSS21.0 software. Results The scores of compliance behavior such as regular exercise, diet control, drug treatment and self-condition monitoring in the study group were higher than those in the control group (all P <0.05). Before the intervention, fasting blood glucose, postprandial blood glucose And glycosylated hemoglobin (P <0.05). After fasting, the levels of fasting blood glucose, postprandial 2h blood glucose and glycosylated hemoglobin were all significantly decreased (P <0.05). Conclusions Nursing interventions for patients with diabetes to enhance their behavioral changes can significantly improve patient compliance with treatment and promote a benign change in behavior and control blood sugar.