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目的:探讨2型糖尿病患者护理管理中应用全程健康教育模式对其健康行为、自我管理能力、血糖控制及生存质量的改善效果。方法:按照随机数字表法将2013年5月-2015年5月112例2型糖尿病患者分组为对照组(常规治疗、健康教育及出院指导)与观察组(对照组护理基础上实施中西医结合健康教育),各56例。于患者干预前、干预12周后分别采用健康促进生活方式量表Ⅱ、自我护理能力测定量表调查其健康行为、自我管理能力。比较两组患者干预前、后生存质量评分情况;检测两组患者干预后血糖控制情况。结果:干预12周后,两组患者健康行为及自我管理能力各项评分均较干预前明显改善,然观察组改善更为显著,P<0.05。经干预12周后,两组患者生存质量各项评分较干预后显著改善,但观察组改善更为显著,P<0.05。观察组患者血糖控制优良率明显高于对照组,P<0.05。结论:实施全程健康教育模式有助于2型糖尿病患者健康行为及自我管理能力的提高,有助于患者血糖控制,从而更好地改善其生存质量。
Objective: To explore the effect of applying whole-course health education model to the management of type 2 diabetes patients on their health behavior, self-management ability, blood sugar control and quality of life. Methods: From May 2013 to May 2015, 112 cases of type 2 diabetes mellitus were divided into control group (routine treatment, health education and discharge guidance) and observation group (control group based on the implementation of integrated traditional Chinese and Western medicine Health education), each 56 cases. Before intervention, 12 weeks after intervention, the Health Promotion Lifestyle Scale Ⅱ and Self-care Ability Scale were used to investigate their health behavior and self-management ability. The quality of life scores of the two groups before and after intervention were compared; the control of blood glucose in two groups was detected. Results: After 12 weeks of intervention, the score of health behavior and self-management ability in both groups were significantly improved compared with that before intervention, while the improvement in the observation group was more significant (P <0.05). After intervention for 12 weeks, the scores of quality of life in both groups were significantly improved after intervention, but the improvement in observation group was more significant (P <0.05). The observation group patients with excellent blood glucose control rate was significantly higher than the control group, P <0.05. Conclusion: The implementation of the whole health education mode helps to improve the health behavior and self-management ability of patients with type 2 diabetes, and helps to control the blood sugar level of patients, so as to better improve their quality of life.