摘要
目的探讨基于健康信念的健康教育对糖尿病患者遵医行为的影响。方法选取2017年1月至2019年1月新北区某医院需进行随访管理的糖尿病患者80例作为研究对象,以数字表法随机分为对照组40例和观察组40例,对照组采用常规指导管理模式进行干预,观察组在此基础上加用基于健康信念的健康教育进行干预,对两组患者遵医行为、血糖水平进行比较分析。结果观察组正确用药[(3.29±0.34)分比(2.86±0.21)分]、合理饮食[(3.35±0.27)分比(2.92±0.16)分]、适量运动[(3.68±0.17)分比(3.13±0.19)分]、血糖监测[(3.41±0.24)分比(3.02±0.14)分]遵医行为评分均显著高于对照组(P<0.001)。干预前两组患者FBG、2hPG及HbA1c水平比较,差异均无统计学意义(均P>0.05)。干预后观察组患者FBG[(6.51±0.86)mmol/L比(7.39±1.14)mmol/L]、2hPG[(8.57±1.46)mmol/L比(9.62±1.43)mmol/L]及HbA1c[(6.15±0.94)%比(6.81±0.86)%]水平均明显低于对照组患者(P<0.001)。结论基于健康信念的健康教育有助于显著改善糖尿病患者遵医行为,促使其血糖控制效果有效提高,值得推广。
Objective To explore the effect of health education based on health beliefs on compliance behavior of diabetic patients.Methods Eighty-eight patients with diabetes who were required to undergo follow-up management in a hospital in Xinbei District from January 2017 to January 2019 were selected as subjects.They were randomly divided into a control group of 40 cases and an observation group of 40 cases by digital table method.The management model was used to intervene.On the basis of this,the observation group added health education based on health beliefs to intervene,and compared the behaviors and blood glucose levels of the two groups.Results The correct medication of the observation group[(3.29±0.34)points(2.86±0.21)points],reasonable diet[(3.35±0.27)points ratio(2.92±0.16)points,moderate exercise[(3.68±0.17)](3.13±0.19)points,blood glucose monitoring[(3.41±0.24)ratio(3.02±0.14)points]were significantly higher than the control group(P<0.001).There were no significant differences in the levels of FBG,2 hPG and HbA1 c between the two groups before intervention(all P>0.05).After intervention,the patients in the observation group had FBG[(6.51±0.86)mmol/L ratio(7.39±1.14)mmol/L],2 hPG[(8.57±1.46)mmol/L ratio(9.62±1.43)mmol/L]and HbA1 c[(The 6.15±0.94%ratio(6.81±0.86)%]was significantly lower than that of the control group(P<0.001).Conclusion Health education based on health beliefs can significantly improve the compliance behavior of diabetic patients,and promote their effective control of blood sugar control,which is worth promoting.
作者
朱婷
ZHU Ting(Integrated Control Section,Center for Disease Control and Prevention of Changzhou Xin bei District,Changzhou 213022,China)
出处
《中国误诊学杂志》
CAS
2019年第6期266-268,共3页
Chinese Journal of Misdiagnostics
关键词
健康信念
健康教育
糖尿病
遵医行为
血糖水平
health beliefs
health education
diabetes
compliance behavior
blood sugar levels
