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| Effect of continuous improvement of health education mode in diabetes mellitus |
| HUANG Xiaoting XU Jiamin CHEN Yanfang LUO Jiang WANG Yan ZHAO Fengying▲ |
| Department of Endocrinology, the First Affiliated Hospital of Fujian Medical University, Fujian Metabolic Disease Clinical Medical Research Center |
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Abstract Objective To explore the continuous improvement of health education mode for diabetic patients, and to provide more effective and feasible propaganda and education mode for patients, help patients control blood sugar, effectively improve their self-management ability, and delay the occurrence and development of diabetic complications.Methods From February 2016 to January 2021, Department of Endocrinology of the First Affiliated Hospital of Fujian Medical University improved the health education mode for diabetes patients for 5 times on the original basis, including clinical pathway health education, diversified health education, intelligent management app education mode, electronic prescription health education mode, and whole-process metabolic disease management mode. Using random sampling method, 200 inpatients with diabetes were selected as the research objects every year, and the general data questionnaire and diabetes self-efficacy scale were used to investigate. Results Each improvement of health education mode effectively improved the self-management ability of diabetic patients. Fasting blood glucose and 2 h postprandial blood glucose in patients after education were higher than those before education, the differences were statistically significant(P＜0.05). In 2016, 2017, 2018, 2019, 2020, 2021, the total scores of self-efficacy after education were (126.12±32.72),(135.19±30.48), (140.44±27.18), (146.52±26.77) and (158.91±21.31) points respectively, were higher than those before education, which were (89.25±30.13), (93.59±34.68), (87.80±27.06), (96.34±34.99), (95.54±35.40) points respectively,the differences were statistically significant (P＜0.05). Conclusion Scientific and effective health education mode can help patients improve self-management efficiency, and diversified forms of health education can correct patients′ bad behavior and living habits. When educating and managing patients, medical staff should pay attention to whether this method is feasible and targeted, pay dynamic attention and improve in time, so as to provide more comprehensive and systematic health education for patients.
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| [1] |
魏家秀，李建华.糖化血红蛋白血清胱抑素C 尿微量白蛋白检测对糖尿病肾病的临床意义[J].实用医技杂志，2013，20（7）：761-762.
|
| [2] |
尹静.糖尿病临床表现、病因分析、预防及治疗措施[J].健康之路，2017，16（8）：76.
|
| [3] |
黄蕊.护理干预对糖尿病患者饮食控制依从性的影响[J].中西医结合心血管病电子杂志，2014，2（15）：158-160.
|
| [4] |
张青.护理干预对糖尿病肾病患者生活质量的影响[J].黑龙江医药科学，2010，33（2）：53.
|
| [5] |
淮盼盼，陆萍静，陈迪，等.结构化教育在社区2 型糖尿病病人自我管理中的应用[J].护理研究，2016，30（28）：3545-3548.
|
| [6] |
李格，桂红民，王霄一.我国糖尿病并发症体验式教育的研究进展[J].全科护理，2020，18（9）：1057-1060.
|
| [7] |
赵丽华，钱莉，王丽华，等.糖尿病并发症体验式健康教育的效果研究[J].中华护理杂志，2018，53（1）：36-40.
|
| [8] |
王洁，韦伟，黄文贞.体验式健康教育对2 型糖尿病患者血糖及自我管理行为的影响[J].中国临床护理，2021，13（3）：150-153.
|
| [9] |
沈犁，郭晓蕙.《中国糖尿病护理及教育指南》介绍[J].中国糖尿病杂志，2010，18（4）：310.
|
| [10] |
戚龙茹，纪小静，卞春，等.代谢病管理中心模式对2 型糖尿病青年患者病耻感的影响[J].国际护理学杂志，2020，39（6）：1031-1034.
|
| [11] |
彭鑫，崔焱，李燕，等.糖尿病管理自我效能量表在2 型糖尿病病人应用中的效果评价[J].全科护理，2010，8（11）：946-947.
|
| [12] |
刘双，刘佩文，花春英，等.糖尿病自我管理“六位一体”支持教育治疗模式探讨[J].医药导报，2016，35（S1）：58-60.
|
| [13] |
卢劲辉，毛显科，黄黛容骥.线上线下医护一体化教育对使用基础胰岛素治疗的2 型糖尿病患者血糖控制的影响[J].糖尿病新世界，2018，21（8）：17-20.
|
| [14] |
林中燕，沈喜妹，宋李斌.互联网环境下的糖尿病管理模式：回顾与展望[J].闽江学院学报，2021，42（1）：121-128.
|
| [15] |
夏群丽，罗物婷.微信延续护理联合同伴教育方法在2型糖尿病患者中的应用及对患者自我效能的影响[J].中国当代医药，2021，28（31）：207-210.
|
| [16] |
梁柳桢，闵珊，罗敏娟.互联网结合中医特色慢病管理对2 型糖尿病患者血糖的影响[J].中国医药科学，2020，10（2）：187-190.
|
| [17] |
段熠.糖尿病饮食教育现状分析[J].中国保健营养，2012，22（18）：4190.
|
| [18] |
魏玉梅.老年糖尿病患者饮食教育的难点及其对策[J].世界最新医学信息文摘，2019，19（17）：292.
|
| [19] |
吕翠平.浅谈糖尿病患者饮食教育的现状[J].家庭医药.就医选药，2018（4）：208.
|
| [20] |
李天秀.糖尿病健康教育的指导内容及方法[N].大众健康报，2021-01-14（12）.
|
| [21] |
李江峰，苏小游，张默涵，等.糖尿病患者自我管理效果及自我效能影响因素分析[J].中国公共卫生管理，2019，35（6）：730-733.
|
|
|
|
