摘要
目的探讨授权教育对接受胰岛素治疗的2型糖尿病患者自我管理行为及治疗达标的影响。方法运用授权理论对50例接受胰岛素治疗的2型糖尿病患者进行教育，评估授权教育前及授权教育6个月后授权教育对患者自我管理行为及治疗达标的影响。结果与授权教育前相比，授权教育6个月后患者自我管理行为有明显改善[（75．04±14．88）比（93．42±10．29）分]，差异有统计学意义（t=7．157，P〈0．01）。自我管理行为各维度较干预前改善，前后比较差异均有统计学意义，其中饮食控制[（16．10±5．01）比（23．48±4．24）分，t=8．596，P〈0．01]，规律锻炼[（11．30±4．94）比（16．52±4．01）分，t=6．076，P〈0．01]，遵嘱用药[（11．78±2．41）比（13．92±1．68）分，t=5．270，P〈0．01]，血糖监测[（9．44±3．54）比（16．12±3．11）分，t=10．057，P〈0．01]，足部护理预防[（15．64±3．18）比（20．36±3．60）分，t=6．689，P〈0．01]，处理高低血糖[（10．78±3．41）比（17．24±2．60）分，t=10．329，P〈0．01]。干预前患者的糖化血红蛋白（HbAlC）为（9．67±1．36）％，干预后3个月降低至（7．83±1．02）％，差异有统计学意义（t=7．831，P〈0．01）；干预后6个月HbAlc为（8．70±1．67）％，干预后6个月HbAlc与干预后3个月相比，差异有统计学意义（t=8．70，P〈0．01）；干预后6个月HbAlc与干预前相比，差异有统计学意义（t=9．67，P〈0．01）。结论授权教育能够提高糖尿病患者自我管理能力，促进其行为改变，从而有利于控制达标。
Objective To evaluate the effect of empowerment education on self-management behavior and treatment efficiency in type 2 diabetic patients with insulin therapy. Methods Empowerment education was implemented on type 2 diabetes patients with insulin therapy, self-management behavior and treatment efficiency were assessed before and after 6 months of education. Results Score of self-management behavior was significantly improved after 6 months empowerment education compared with before [ （ 93.42 ±10. 29 ） vs （75.04 ± 14.88） ] , and the difference was statistically significant （ t = 7. 157,P 〈 0.01 ）. Every dimension of self-management behavior had also improved significantly after training, including diet control [ （ 23.48 ± 4.24） vs （16.10±5.01）, t =8.596, P〈0.01] , regular-exercise [ （16.52±4.01） vs （11.30±4.94）, t =6.076, P 〈0.01 ], medical compliance [ （ 13.92 ± 1.68） vs （ 11.78±2.41 ）, t =5. 270, P 〈0.01 ], self-monitoring of blood glucose [ （ 16.12 ±3.11 ） vs （9.44 ±3.54）, t = 10. 057, P 〈0.01 ） 1, foot-care [ （20.36±3.60） vs （ 15.64 ± 3.18）, t = 6. 689, P 〈 0.01 ] , and correct-treatment of hyperglycemia or hypoglycemia [ （ 17.24 ± 2.60） vs （ 10.78 ±3.41 ）, t = 10. 329, P 〈 0.011. Patients＇ HbAlc was （9.67±1.36） % before training, and reduced to （7.83 ±1.02） % at the 3nt month, and （ 8.70 ± 1.67） % at the 6th month, and the differences were statistically significant （t = 7. 831, 9.67, respectively; P 〈 0.01 ）. The difference of HbA1 c between the 3rd month and the 6th month was also significant （ t = 8.70, P 〈 0.01 ）. Conclusions Empowerment education can improve the self-management ability in diabetic patients, promote their behavior change, and favor blood glucose control.
出处
《中华现代护理杂志》
2012年第35期4232-4234,共3页
Chinese Journal of Modern Nursing
基金
卫生部临床重点专科建设项目基金资助（2010-305）
关键词
糖尿病
胰岛素
授权
自我管理
Diabetes mellitus
Insulin
Empowerment
Self-management
