论文部分内容阅读
目的探讨以家庭为单位的健康教育模式对糖尿病患者院外胰岛素治疗依从性的影响。方法选取2013年7-12月本院内分泌科收治需长期院外胰岛素治疗的糖尿病患者120例。按随机化分组表分为对照组[n=60,男性38例,女性22例,年龄(58.93±14.15)岁,病程(7.82±5.62)年,采用针对患者本人的传统健康教育模式]和试验组[n=60,男性36例,女性24例,年龄(60.03±12.17)岁,病程(8.13±6.08)年,采用以家庭为单位的健康教育模式]。研究随访时间1年,对两组患者及家庭单位成员糖尿病院外胰岛素治疗相关知识的知晓率、患者治疗的依从性及家属在提高患者依从性中发挥的作用、患者空腹血糖、餐后2 h血糖、糖化血红蛋白、尿微量蛋白等进行比较。结果两组患者及家属糖尿病院外胰岛素治疗相关知识的知晓率(95.87%vs 81.26%,88.57%vs 31.86%)、患者糖尿病院外胰岛素治疗的依从性(88.33%vs 38.33%)、家属对患者依从性的影响(96.33%vs 28.33%)、空腹血糖、餐后2 h血糖、糖化血红蛋白[(6.27±1.35)%vs(6.86±1.24)%]、尿微量蛋白[(16.72±3.98)vs(24.62±5.05)mg/d L]等比较,试验组均显著优于对照组(P<0.01)。结论基于以家庭为单位的健康教育模式能显著提高患者及家属(以一级亲属为主)糖尿病院外胰岛素治疗相关知识的知晓率,患者在家属的帮助下治疗依从性显著提高,从而提高院外胰岛素疗效(尤长期疗效)。
Objective To investigate the effect of family-based health education on adherence to insulin therapy in patients with diabetes mellitus. Methods A total of 120 diabetic patients undergoing long-term hospital-based insulin therapy were enrolled in the department of endocrinology from July to December 2013 in our hospital. The patients were divided into control group (n = 60, 38 males, 22 females, age 58.93 ± 14.15 years, duration 7.82 ± 5.62 years) Group [n = 60, 36 males and 24 females, age (60.03 ± 12.17) years, duration of disease (8.13 ± 6.08) years, with family-based health education model]. The study was followed up for 1 year. The awareness rate of insulin-related diabetes inpatients and family members in both groups and family members, the compliance of patients’ treatment and the role of family members in improving patient compliance were analyzed. The fasting blood glucose, postprandial blood glucose , Glycosylated hemoglobin, urine micro-protein, etc. were compared. Results The awareness rate of outpatient insulin therapy in both groups and their families was 95.87% vs 81.26% and 88.57% vs 31.86%, respectively. The adherence rate of insulin in outpatients with diabetes was 88.33% vs 38.33% (96.33% vs 28.33%), fasting plasma glucose, postprandial 2h blood glucose, glycosylated hemoglobin [(6.27 ± 1.35)% vs (6.86 ± 1.24)%], urine microalbumin (16.72 ± 3.98 vs 24.62 ± 5.05) mg / dL], the experimental group were significantly better than the control group (P <0.01). Conclusions Based on family-based health education model, the awareness rate of insulin-related diabetes inpatients and their relatives (mainly first-degree relatives) was significantly improved. Patients’ compliance with treatment was significantly improved with the help of their family members, thereby improving the out-of-hospital insulin Efficacy (especially long-term effect).