健康教育对农村老年2型糖尿病患者糖尿病认知的影响(1)
摘要：目的 探讨健康教育对农村老年2型糖尿病患者糖尿病的认知影响。方法 选取2016年12月～2018年5月在我院住院的300例2型糖尿病患者，随机分成观察组147例和对照组153例。观察组采用有计划的包括心理护理、饮食指导、运动指导、合理用药及血糖检测方面的健康教育，对照组仅进行入院常规宣讲。对所有患者出院时进行问卷调查，分析两组的一般资料和糖尿病认知度的差异。结果 观察组患者对糖尿病诱因、治疗方法、服用药物的不良反应、疾病预防知识、饮食禁忌、吸烟对疾病治疗效果的影响、运动保健对疾病治疗的积极作用的了解和认知度较对照组显著提高，差异有统计学意义(P<0.05)。开展教育后，对医生和护士的满意人数也较大幅度增加，差异有统计学意义(P<0.05)。结论 健康教育可显著提升农村老年2型糖尿病患者自我管理水平，有利于和谐医患关系，减少医疗纠纷的发生。
关键词：2型糖尿病;健康教育;农村;老年患者
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.043
, http://www.100md.com
文章编号：1006-1959(2019)06-0135-03
Abstract：Objective To explore the cognitive impact of health education on diabetes in elderly type 2 diabetic patients in rural areas. Methods A total of 300 patients with type 2 diabetes mellitus admitted to our hospital from December 2016 to May 2018 were randomly divided into observation group (n=147) and control group (n=153). The observation group used a planned health education including psychological care， diet guidance， exercise guidance， rational medication and blood glucose testing. The control group only conducted regular admissions. A questionnaire survey was conducted on all patients at discharge， and the differences between the general data and diabetes awareness of the two groups were analyzed. Results In the observation group， the causes of diabetes， the treatment methods， the adverse reactions of taking drugs， the knowledge of disease prevention， dietary contraindications， the effect of smoking on the treatment of diseases， and the positive effects of sports health on the treatment of diseases were more significant than the control group，the difference was statistically significant (P<0.05). After the education， the number of satisfied doctors and nurses also increased significantly， the difference was statistically significant (P<0.05). Conclusion Health education can significantly improve the self-management level of elderly patients with type 2 diabetes in rural areas， which is conducive to the harmonious relationship between doctors and patients and reduce the occurrence of medical disputes.
, 百拇医药
Key words：Type 2 diabetes;Health education;Rural;Elderly patients
農村老年糖尿病患者由于文化水平低、病程较长、接受能力较差、用药依从性差等现象，导致不良反应发生率增高，严重危害患者的生命及生活质量。国际糖尿病联盟(IDF)提出健康教育与心理改善、药物改善、饮食改善、运动改善和血糖监测五项措施可显著改善糖尿病病情[1]。健康教育是有计划、有组织、有系统对特定人群开展的社会教育活动。其核心是教育人们树立健康意识、促使人们改变不健康的行为生活方式，以减少或消除影响健康的危险因素[2]。良好的健康教育可以帮助糖尿病患者正确认识糖尿病，帮助患者正确控制血糖，有效防止并发症的发生[3，4]。为了了解农村老年2型糖尿病患者对糖尿病的认知程度，尤其是对糖尿病自我管理的态度及认识，本研究在健康教育前后分别进行了相关问卷调查，以便根据农村老年2型糖尿病患者群体特点调整和指导疾病治疗，提高其生活质量。, http://www.100md.com(黄花)
关键词：2型糖尿病;健康教育;农村;老年患者
中图分类号：R587.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.043
, http://www.100md.com
文章编号：1006-1959(2019)06-0135-03
Abstract：Objective To explore the cognitive impact of health education on diabetes in elderly type 2 diabetic patients in rural areas. Methods A total of 300 patients with type 2 diabetes mellitus admitted to our hospital from December 2016 to May 2018 were randomly divided into observation group (n=147) and control group (n=153). The observation group used a planned health education including psychological care， diet guidance， exercise guidance， rational medication and blood glucose testing. The control group only conducted regular admissions. A questionnaire survey was conducted on all patients at discharge， and the differences between the general data and diabetes awareness of the two groups were analyzed. Results In the observation group， the causes of diabetes， the treatment methods， the adverse reactions of taking drugs， the knowledge of disease prevention， dietary contraindications， the effect of smoking on the treatment of diseases， and the positive effects of sports health on the treatment of diseases were more significant than the control group，the difference was statistically significant (P<0.05). After the education， the number of satisfied doctors and nurses also increased significantly， the difference was statistically significant (P<0.05). Conclusion Health education can significantly improve the self-management level of elderly patients with type 2 diabetes in rural areas， which is conducive to the harmonious relationship between doctors and patients and reduce the occurrence of medical disputes.
, 百拇医药
Key words：Type 2 diabetes;Health education;Rural;Elderly patients
農村老年糖尿病患者由于文化水平低、病程较长、接受能力较差、用药依从性差等现象，导致不良反应发生率增高，严重危害患者的生命及生活质量。国际糖尿病联盟(IDF)提出健康教育与心理改善、药物改善、饮食改善、运动改善和血糖监测五项措施可显著改善糖尿病病情[1]。健康教育是有计划、有组织、有系统对特定人群开展的社会教育活动。其核心是教育人们树立健康意识、促使人们改变不健康的行为生活方式，以减少或消除影响健康的危险因素[2]。良好的健康教育可以帮助糖尿病患者正确认识糖尿病，帮助患者正确控制血糖，有效防止并发症的发生[3，4]。为了了解农村老年2型糖尿病患者对糖尿病的认知程度，尤其是对糖尿病自我管理的态度及认识，本研究在健康教育前后分别进行了相关问卷调查，以便根据农村老年2型糖尿病患者群体特点调整和指导疾病治疗，提高其生活质量。, http://www.100md.com(黄花)