Abstract：Objective To explore the effect of one-to-one tutoring education method on the nursing behavior of patients with high risk of type 2 diabetes. Methods One hundred and ten cases of patients with high risk of type 2 diabetic foot treated in the Second Endocrine Ward, the Fourth Affiliated Hospital of Harbin Medical University from August 2015 to August 2017 were selected. All the patients were divided into the control group and the experimental group by random number table, each group had 55 cases. The control group was given the routine health education. The experimental group was given one-to-one tutoring education. All patients were given 12 months health education intervention. The basic knowledge, diabetic foot health behavior and the change of the protection act in accordance with the doctor's advice of patients with diabetic foot before and after health education were compared between the two groups. Results Compared with before health education, after intervention, the basic knowledge scores of diabetic foot, diabetic foot health behavior scores and self-care behavior scores were significantly enhanced in the two groups (P < 0.05); and after intervention, the basic knowledge scores, diabetes foot health behavior scores and compliance doctor self-care behavior scores of the experimental group were higher than those of the control group, the differences were statistically significant (P < 0.05). Conclusion One-to-one tutoring type health education can effectively improve diabetic foot high-risk patients' knowledge about their disease and foot care, help to establish a healthy lifestyle, improve patients' self-protection consciousness, reduce the occurrence of diabetic foot injury.
迟中秋 刘欢 高雪. 一对一辅导式健康教育对2型糖尿病高危患者足部护理行为的影响[J]. 中国医药导报, 2018, 15(16): 170-173.
CHI Zhongqiu LIU Huan GAO Xue . The effects of one-to-one tutoring education method on the nursing behavior of patients with high risk of type 2 diabetes. 中国医药导报, 2018, 15(16): 170-173.
[1] 李静，张月华，王美君，等.2型糖尿病足高危患者的足部护理行为现状及影响因素分析[J].中国实用护理杂志，2015，31（18）：1357-1360.
[2] 潘孝仁.糖尿病的诊断标准及分型[J].中华内科杂志，1997（6）：427-429.
[3] Daly B，Arroll B，Sheridan N，et al. Foot examinations of diabetes patients by primary health care nurses in Auckland，New Zealand [J]. Prim Care Diabetes，2014，8（2）：139-146.
[4] 韦琼，张志凯，张衍宁，等.保护动机理论对糖尿病高危足患者足部护理的影响[J].现代临床护理，2015，14（9）：16-20.
[5] 王莹，张红妹，王丽娜.多形式护理健康教育对首诊2型糖尿病患者的影响[J].山西医药杂志，2017，46（13）：1633-1635.
[6] 李饶，袁丽，郭晓蕙，等.中国2型糖尿病患者足部护理知识和足部自我护理行为现状及影响因素的研究[J].中华护理杂志，2014，49（8）：909-913.
[7] Cardoso CRL，Leite NC，Salles GF. Prognostic Importance of C‐Reactive Protein in High Cardiovascular Risk Patients With Type 2 Diabetes Mellitus：The Rio de Janeiro Type 2 Diabetes Cohort Study [J]. J Am Heart Assoc，2016， 5（11）：e004554.
[8] 高岩.新型健康教育模式在2型糖尿病患者中的应用及效果观察[J].齐鲁护理杂志，2012，18（25）：129-131.
[9] 曾洁，裴锐，田素萍，等.延续护理在糖尿病足高危患者中的应用[J].中华现代护理杂志，2014，49（19）：2349-2351.
[10] Ozawa K，Tomisawa T，Sakuraba S，et al. Factors related to changes in foot status and foot care in patients with diabetes mellitus participating in an exercise health education program [J]. Journal of Diabetes Mellitus，2014，4（1）：67-71.
[11] 黄玉娟，朱佩玉.焦点解决模式对2型糖尿病足高危患者护理知识和行为的影响[J].天津护理，2016，24（3）：215-217.
[12] 金曼，安娜，丁秀荣，等.三种健康教育方法对2型糖尿病足高危患者足部护理行为影响的比较研究[J].糖尿病新世界，2016，19（21）：130-131.
[13] 邵蔚，杜宁迁.糖尿病患者糖尿病足认知调查与高危筛查[J].蚌埠医学院学报，2014，39（9）：1206-1208.
[14] Menon AS，Dixit A，Garg MK，et al. Cardiac Autonomic Neuropathy in Patients with Type 2 Diabetes Mellitus at High Risk for Foot Ulcers [J]. Indian J Endocrinol Metab，2017，21（2）：282.
[15] 吕芳，刘小勤.早期健康教育预防糖尿病足发生的效果评价[J].内科，2015，10（2）：280-281.
[16] 黄玉娟，朱佩玉.焦点解决模式在2型糖尿病足患者足部护理干预中的应用[J].右江民族医学院学报，2017， 39（3）：248-250.
[17] Moshki M，Dehnoalian A，Alami A. Effect of Precede-Proceed Model on Preventive Behaviors for Type 2 Diabetes Mellitus in High-Risk Individuals [J]. Clin Nurs Res，2017，26（2）：241-253.
[18] 凌小容.推广2型糖尿病患者足部自我护理知识及护理行为的效果分析[J].辽宁医学杂志，2016，30（1）：48-50.
[19] 赵芳，袁丽，楼青青，等.健康教育与2型糖尿病患者血糖控制和自我护理行为的相关性研究[J].中国糖尿病杂志，2013，5（10）：598-603.
[20] 王芳，袁丽，李饶，等.住院2型糖尿病患者自我管理行为现状及影响因素分析[J].护理学杂志，2015，30（17）：29-31.
2018, Vol. 15 
京公网安备 11010502046598号