并发症体验式教育在低学历2型糖尿病患者中的应用效果观察

史菲菲; 庄兰艮; 施冠华; 张艳丽

doi:10.16766/j.cnki.issn.1674-4152.001832

并发症体验式教育在低学历2型糖尿病患者中的应用效果观察

doi: 10.16766/j.cnki.issn.1674-4152.001832

蚌埠医学院第一附属医院内分泌科，安徽蚌埠 233004

基金项目:

安徽省卫生和计划生育委员会科研计划项目 2016QK021

详细信息

通讯作者:
庄兰艮, E-mail: zhuanglangen@163.com

中图分类号: R587.1
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- 文章访问数: 204
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- 被引次数: 0
出版历程
- 收稿日期: 2020-05-04
- 网络出版日期: 2022-02-19

Effect of experience-based education on complications in patients with type 2 diabetes mellitus with low educational background

Department of Endocrinology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的糖尿病认知水平低下是阻碍我国糖尿病患者血糖达标的重要原因之一。而糖尿病教育是血糖管理的核心，是患者认知程度提升的关键环节。因此，本研究旨在引入新型糖尿病教育模式，探索传统模式教育联合并发症体验式教育对低学历2型糖尿病认知水平及血糖调控的影响。方法选择2019年6—10月就诊于蚌埠医学院第一附属医院的初中及初中以下的低学历2型糖尿病患者88例，使用随机数字表法分为对照组(44例，传统糖尿病健康教育)和观察组(44例，传统健康教育联合并发症体验)。采集全部研究对象的年龄、性别、病程、腰围、体重指数等基本资料，检测血糖、糖化血红蛋白等生化指标，利用各种教具如背心、沙袋、特殊塑料肾脏模型、特制眼镜、针织手套、弹力手套、海绵垫等实现多种糖尿病并发症体验感受，以管理行为量表得分作为自我行为判定的方法。评估患者认知水平和血糖控制疗效，采用SPSS 24.0统计学软件进行统计学处理分析。结果 2组患者基线资料比较差异无统计学意义(均P < 0.05)。观察组糖尿病的自我管理行为量表得分显著高于对照组，血糖控制效果均显著优于对照组(均P＜0.05)。结论采用传统健康教育联合并发症体验式教育可提高糖尿病患者的自我管理能力，对血糖调控产生积极的效果。
- 2型糖尿病 /
- 低学历 /
- 体验式教育 /
- 血糖控制
Abstract: Objective To introduce a new diabetes education model and explored the impact of the traditional education model combined with experiential complication education on the cognitive level and blood glucose regulation of type 2 diabetes patients with low educational background. Methods A total of 88 cases of type 2 diabetes patients with low educational background who visited our department from June to October in 2019 were randomly divided into the experimental and control groups, with 44 cases in each group. They were rand only divided into the control group (traditional diabetes health education) and experimental group (traditional health education combined with complication experience). Age, gender, duration, waist circumference and body mass index were collected as basic data. Blood sugar and glycosylated haemoglobin were tested. Vest, sand bags, special plastic model of kidney, special glass gloves, knitted gloves, elastic and cushions were used as teaching aid for complication experience of diabetes. Self-management behaviour scale and biochemical indicators were used to evaluate the effects of cognition and blood glucose control. SPSS software 24.0 was used for statistical analysis. Results No difference in baseline data was found between the two groups (all P < 0.05). The cognition, coping ability, healthy behaviour adoption and blood glucose control effect of the experimental group were significantly better than that of the control group (all P < 0.05). Conclusion The traditional health education combined with complication experience education can improve the self-management ability of diabetic patients, which has positive effects on blood glucose regulation.
- Type 2 diabetes /
- Low educational /
- Experiential education /
- Blood glucose control

HTML全文

表 1 2组2型糖尿病患者一般检查资料比较(x ±s)

组别	例数	腰围(cm)	BMI	甘油三酯(mmol/L)	总胆固醇(mmol/L)	内脏脂肪(cm²)	皮下脂肪(cm²)
对照组	44	86.94±9.13	24.12±3.16	2.65±2.64	4.70±1.08	73.51±37.94	180.72±67.91
干预组	44	87.59±7.95	24.80±3.41	2.23±1.31	4.63±1.03	76.08±31.85	192.20±65.87
t值		-0.355	-0.976	0.942	0.329	-0.344	-0.805
P值		0.723	0.332	0.349	0.743	0.732	0.423

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表 2 2组2型糖尿病患者干预前后血糖水平及SDSCA评分比较(x ±s)

组别	例数	FBG(mmol/L)		2hPG(mmol/L)		HbA1c(%)		SDSCA(分)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后	干预前	干预后
对照组	44	9.91±3.50	8.90±2.17	18.33±5.24	13.56±3.30	10.33±2.09	9.03±1.81	28.50±5.32	51.57±5.96
观察组	44	9.51±3.35	7.50±1.60	17.56±5.75	11.63±2.75	9.90±2.38	7.17±1.04	28.39±5.32	63.14±7.09
t值		0.540	9.596	0.653	16.852	0.906	13.660	0.100	-33.816
P值		0.584	＜0.001	0.515	＜0.001	0.368	＜0.001	0.920	＜0.001

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