赋能授权教育模式在糖尿病血糖控制不佳患者中的应用

胡晓蓉; 李修英; 许娟; 吴清清

doi:10.16766/j.cnki.issn.1674-4152.002055

赋能授权教育模式在糖尿病血糖控制不佳患者中的应用

doi: 10.16766/j.cnki.issn.1674-4152.002055

浙江大学医学院附属杭州市第一人民医院内分泌科，浙江杭州 310006

基金项目:

浙江省医药卫生科技计划项目 2020KY683

详细信息

通讯作者:
吴清清，E-mail：wuqingqing722@163.com

中图分类号: R587.1
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- 被引次数: 0
出版历程
- 收稿日期: 2020-06-17
- 网络出版日期: 2022-02-16

Effect of empowerment education model on patients with poor blood glucose control in diabetes mellitus

Department of Endocrinology, Hangzhou First People's Hospital Affiliated to Zhejiang University School

摘要

摘要: 目的探讨赋能授权教育模式对糖尿病血糖控制不佳患者自我管理能力及血糖控制水平的影响。方法选取2019年1—12月浙江大学医学院附属杭州市第一人民医院内分泌科收治的90例血糖控制不良的2型糖尿病患者，按随机数字表法分为对照组(45例)和观察组(45例)。对照组采取常规健康教育，观察组实施赋能授权教育模式，评估比较2组患者干预前后的空腹血糖(fiber bragg grating，FBG)、餐后2 h血糖(postprandial blood glucose, PBG)、糖化血红蛋白(hemoglobinA1c，HbA1c)水平及自我管理行为能力。结果干预6个月后，观察组患者FBG、PBG、HbA1c水平分别为(6.55±1.23)mmol/L、(9.34±2.34)mmol/L、(6.56±1.93)%，均优于对照组[(7.86±1.43)mmol/L、(13.25±3.12)mmol/L、(7.72±1.16)%]，差异均有统计学意义(t=4.392、6.341、3.455, 均P < 0.05)；观察组患者的自我管理行为总得分[(104.51±7.63)分]明显高于对照组[(74.13±9.57)分]，差异有统计学意义(t=16.724，P＜0.05)。结论赋能授权教育模式有助于提升糖尿病患者自我管理能力，改善血糖控制水平。
- 赋能授权教育模式 /
- 自我管理 /
- 糖尿病 /
- 血糖控制
Abstract: Objective To explore the influence of empowerment education mode on self-management ability and blood glucose control level of patients with poor glucose control in diabetes mellitus. Methods Total 90 patients with type 2 diabetes who had poor glucose control were selected from Department of Endocrinology, No.1 People's Hospital of Hangzhou, Zhejiang University from January to December 2019. They were randomly divided into control group (45 cases) and intervention group (45 cases). The control group was given routine health education, and the intervention group was given empowerment education mode. The levels of fasting blood glucose (FBG), postprandial blood glucose (PBG), glycosylated hemoglobin (HbA1c) and self-management behavior ability of the two groups before and after the intervention were evaluated and compared. Results After 6 months of intervention, the levels of FBG, PBG and HbA1c in the observation group were (6.55±1.23, 9.34±2.34, 6.56±1.93) mmol/L, which were better than those of the control group (7.86±1.43, 13.25±3.12, 7.72±1.16) mmol/L, and the differences were statistically significant (t=4.392, 6.341, 3.455, P < 0.05). The total score of self-management behavior in the intervention group (104.51±7.63) was significantly higher than that in the control group (74.13±9.57), the difference was statistically significant (t=16.724, P < 0.05). Conclusion Empowerment and empowerment education mode can help to improve the self-management ability of diabetic patients and improve the level of blood glucose control.
- Empowerment education model /
- Self-management /
- Diabetes mellitus /
- Blood glucose control

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表 1 2组2型糖尿病患者基线资料比较

组别	例数	性别(男/女，例)	年龄(x ±s，岁)	病程(x ±s，年)	文化程度(例)
组别	例数	性别(男/女，例)	年龄(x ±s，岁)	病程(x ±s，年)	小学	中学	大学
观察组	45	25/20	49.6±4.1	4.5±0.8	15	22	8
对照组	45	23/22	50.3±4.3	4.6±0.9	17	21	7
统计量		0.219^a	0.791^b	0.557^b	0.457^c
P值		0.413	0.215	0.289	0.647
注：^a为χ²值，^b为t值，^c为U值。

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表 2 2组2型糖尿病患者干预前后血糖指标比较(x ±s)

组别	例数	FBG(mmol/L)		PBG(mmol/L)		HbA1c(%)
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
观察组	45	10.32±2.33	6.55±1.23^a	17.34±3.97	9.34±2.34^a	9.83±2.12	6.56±1.93^a
对照组	45	10.41±2.39	7.86±1.43^a	17.97±4.01	13.25±3.12^a	9.94±2.24	7.72±1.16^a
t值		0.169	4.392	0.706	6.341	0.215	3.455
P值		0.886	＜0.001	0.482	＜0.001	0.831	0.004
注：与干预前比较，^aP < 0.05。

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表 3 2组2型糖尿病患者自我管理能力评分比较(x ±s，分)

组别	例数	合理饮食		规律运动		遵医用药			血糖监测
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
观察组	45	16.57±2.46	21.78±4.06^a	10.29±1.42	16.82±2.35	11.24±2.04	16.46±2.46		8.66±1.13	12.87±1.51^a
对照组	45	16.65±2.63	18.46±2.92^a	10.48±1.47	12.38±1.85	11.35±2.09	12.14±2.33		8.92±1.21	9.52±1.42^a
t值		0.875	16.891	1.033	15.710	0.891	18.087		0.658	14.089
P值		0.384	＜0.001	0.305	＜0.001	0.376	＜0.001		0.513	＜0.001

组别	例数	足部护理		高低血糖处理		总分
组别	例数	干预前	干预后	干预前	干预后	干预前		干预后
观察组	45	13.12±1.92	19.53±2.62^a	12.28±1.49	18.67±1.98^a	65.42±7.37		104.51±7.63^a
对照组	45	13.26±2.08	16.24±2.31^a	12.45±1.55	13.39±1.76^a	66.01±7.42		74.13±9.57^a
t值		0.412	13.287	0.672	10.082	0.481		16.724
P值		0.681	＜0.001	0.503	0.001	0.632		＜0.001
注：与干预前比较，^aP＜0.05。

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