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授权健康教育对2型糖尿病住院患者自我管理行为及血糖控制的影响 被引量:4

Effect of empowerment-based health education on self-management behavior and blood control in hospitalized patients with type 2 diabetes mellitus
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摘要 目的探讨授权健康教育对2型糖尿病住院患者自我管理行为及血糖控制效果的影响。方法选取2019年1月—8月内分泌科收治的84例2型糖尿病住院患者为研究对象,采用随机数字表法分为研究组和对照组,各42例。对照组采用常规健康教育,研究组采用授权教育干预模式。2组均干预8周。比较干预前(入院第2天)、干预后(入院第8周)2组血糖控制指标、自我管理行为量表(SDSCA)评分。结果干预后,研究组餐后2 h血糖、糖化血红蛋白水平低于对照组(P<0.05);研究组SDSCA评分高于对照组(P<0.01)。结论实施授权教育干预模式有助于提高2型糖尿病住院患者良好自我管理行为,从而有效控制血糖。 Objective To investigate the effect of empowerment-based health education on self-management behavior and blood control in hospitalized patients with type 2 diabetes mellitus.Methods A total of 84 hospitalized patients with type 2 diabetes mellitus were randomly divided into the study group and the control group,with 42 cases in each group.The control group received routine health education,and the study group was given empowerment-based health education.The glycemic indexes such as fasting blood-glucose(FBG),2-h postprandial blood glucose(2 hPBG)and glycosylated hemoglobin(HbA1c)were tested before and after intervention.The Revised Summary of Diabetes Self-Care Activities(SDSCA)scale was used to self-management ability of patients.Results The levels of 2 hPBG and HbA1c were lower in the study group than those in the control group after intervention(P<0.05).The SDSCA score in the study group was higher than that in the control group(P<0.01).Conclusion The empowerment-based health education is effective to improve self-management behavior and blood control of hospitalized patients with type 2 diabetes mellitus.
作者 罗艳华 欧玉兰 王文 刘春桃 LUO Yanhua;OU Yulan;WANG Wen;LIU Chuntao(School of Nursing University of South China,Hengyang,Hunan,421001;Department of Endocrinology,The First Affiliated Hospital of University of South China,Hengyang,Hunan,421001;Department of Nursing,The First Affiliated Hospital of University of South China,Hengyang,Hunan,421001)
出处 《中西医结合护理(中英文)》 2020年第5期18-21,共4页 Journal of Clinical Nursing in Practice
基金 湖南省卫生计生委科研计划课题项目(20180980) 湖南省衡阳市科技局指导性课题项目(201947224)。
关键词 授权健康教育 2型糖尿病 住院患者 自我管理 血糖 empowerment-based health education type 2 diabetes mellitus hospitalized patient self-management blood glucose
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