摘要
目的探讨医院联合社区实施健康教育对糖尿病患者生存质量和就医行为的影响。方法将宜昌市城区7个社区中120例糖尿病患者随机分为联合教育组和对照组各60例,联合教育组由综合医院联合社区医院进行糖尿病健康教育,对照组由综合医院采用常规健康教育。实施1年后使用SF-36简明健康状况调查量表评价两组患者的生存质量,并比较两组患者的就医行为。结果研究结束时联合教育组患者生存质量各维度评分显著高于对照组(均P<0.05);联合教育组患者年人均综合医院就诊次数和年人均医疗费用显著少于对照组(均P<0.01),而年人均社区医院就诊次数和年人均自行购药次数显著多于对照组(均P<0.01)。结论医院联合社区对糖尿病患者进行健康教育,能提高患者的生存质量,优化患者的就医行为。
Objective To study the effect of health education provided by general hospital and community hospitals on quality of life and medical behaviors of patients with diabetes mellitus （DM）. Methods Totally 120 DM patients chosen from seven communities of Yichang city were divided randomly into a combination group （n=60） and a control group （n= 60）. Patients in the combination group received health education provided by general hospital and community hospitals, while subjects in the control group were given conventional health education offered only by a general hospital. After 1 year of intervention, patients＇ quality of life was evaluated by the 36 Items Short Form of Health Survey （SF- 36, Chinese version）, and their medical behaviors were compared between the two groups. Results The scores of each dimension of SF-36 were significantly higher in the combination group than those in the control group （P〈0.05 for all） ; times and cost of hospital visits to general hospitals per year in patients of the combination group were significantly less than those in the control group （P〈0.01 for both）, while times of hospital visits to community hospitals and cost of purchasing drugs were significantly more in the combination group （P〈0.01 for both）. Conclusion Health education provided by general hospital and community hospitals can improve quality of life in diabetic patients, and optimize their medical behaviors.
基金
湖北省卫生厅护理专项基金项目(200607)
关键词
糖尿病
综合医院
社区医院
联合健康教育
生存质量
就医行为
diabetes mellitus
general hospital
community hospital
combined health education
quality of life
medical behaviors
