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共同照护模式联合回授法健康教育对2型糖尿病患者病情控制的影响

Research on the impact of co-care model combined with feedback health education on disease control in patients with type 2 diabetes
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摘要 目的分析共同照护模式联合回授法健康教育在2型糖尿病患者中的应用效果。方法将2023年1月—2023年12月广州市第一人民医院收治的114例2型糖尿病患者作为此次研究对象,分为研究组(n=57)和对照组(n=57),对照组患者给予常规护理结合健康教育,研究组患者给予共同照护模式联合回授法健康教育,评估两组在培训前及培训后1、3个月的血糖控制情况及糖尿病患者自我管理行为量表(SDSCA)等指标。结果培训1、3个月后,两组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白均低于培训前,且研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组(P<0.05)。培训1、3个月后,两组患者的糖尿病患者SDSCA评分高于培训前,且研究组各项评分高于对照组(P<0.05)。重复测量方差分析表明随着时间的推移,患者的血糖控制状况随着不同护理培训策略而得到改善。结论使用共同照护模式联合回授法健康教育对2型糖尿病患者可以更显著改善血糖控制水平、提高自我管理效能。 Objective To analyze the effect of co-care mode and feedback health education on patients with type 2 diabetes.Methods From January 2023 to December 2023,114 patients with type 2 diabetes admitted to Guangzhou First People’s Hospital were divided into two groups:experimental group(n=57)and control group(n=57).Patients in control group were given routine nursing combined with health education.Patients in study group were given co-care and feedback health education.Before intervention and 1,3 months after intervention,patients’blood glucose control and diabetic self-management behavior scale(SDSCA)were evaluated.Results After 1 and 3 months of intervention,the fasting blood glucose,2-hour blood glucose and HbA1c of the two groups were significantly lower than those before intervention,and the fasting blood glucose,2-hour blood glucose and HbA1c of the experimental group were significantly lower than those of the control group(P<0.05).After 1 month and 3 months of intervention,the SDSCA scores of diabetic patients in both groups were higher than those before intervention,and the scores of study group were higher than those of control group(P<0.05).Repeated measures analysis of variance indicating that glycemic control improved significantly over time with different nursing training strategies.Conclusions Co-care mode and feedback health education can significantly improve blood glucose control and self-management efficiency in patients with type 2 diabetes.
作者 王湘琦 周艳颜 杨秋莲 WANG Xiangqi;ZHOU Yanyan;YANG Qiulian(Department of Geriatrics Comprehensive Internal Medicine,the Second Affiliated Hospital of South China University of Technology,Guangzhou First People’s Hospital,Guangzhou 510180,China)
出处 《广州医药》 2025年第1期117-124,共8页 Guangzhou Medical Journal
关键词 共同照护模式 回授法健康教育 2型糖尿病 病情控制 co-care model feedback health education type 2 diabetes disease control
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