Abstract:Objective To explore the effects of pathway health education on blood glucose, self-management behavior and emotion in patients with type 2 diabetes mellitus. Methods A total of 800 clinical data of patients with type 2 diabetes mellitus in Department of Endocrine, Yan′an People′s Hospital from April 2016 to May 2017 were retrospectively analyzed and divided into the control group and the observation group by different health education methods, with 400 cases in each group. The control group was given routine health education and the observation group was given pathway health education. The blood glucose, the scores of self-management behavior and the emotions between the two groups were compared. Results Before intervention, there were no statistically significant differences in the fasting plasma glucose, postprandial 2 h blood glucose and glycosylated hemoglobin between the two groups (P > 0.05); after intervention, the indicators above in the two groups were all lower than those of before intervention, the indicators above in the observation group were significantly lower than those of control group, with statistically significant differences (P < 0.05). Before intervention, there were no statistically significant differences in the scores of anxiety and depression (P > 0.05); after intervention, the scores above in the two groups were all lower than those of before intervention and the scores above in the observation group were significantly lower than those of control group, with statistically significant differences (P < 0.05). Before intervention, there were no statistically significant differences in the scores of diet control, regular exercise, medication following doctor′s advice, blood glucose monitoring, foot care and abnormal blood sugar treatment (P > 0.05); after intervention, the scores above in the two groups were all higher than those of before intervention and the scores above in the observation group were significantly higher than those of control group, with statistically significant differences (P < 0.05). Conclusion The application of pathway health education in patients with type 2 diabetes mellitus can decrease the blood sugar, improve the psychological emotions, increase the self-management behavior. It is worthy of promotion and application.
刘晓英1 张艳玲2▲. 路径式健康教育对2型糖尿病患者血糖、自我管理行为及情绪的影响[J]. 中国医药导报, 2018, 15(19): 172-176.
LIU Xiaoying1 ZHANG Yanling2▲. Effects of pathway health education on blood glucose, self-management behavior and emotion in patients with type 2 diabetes mellitus. 中国医药导报, 2018, 15(19): 172-176.
[1] 富志南,魏广成,马合金,等.个体化健康教育处方对2型糖尿病患者的认知及血糖的影响[J].职业与健康,2015,31(23):3286-3288.
[2] Qaseem A,Humphrey LL,Sweet DE,et al. Oral pharmacologic treatment of type 2 diabetes mellitus:a clinical practice guideline from the merican College of Physicians [J]. Ann Intern Med,2012,156(3):218-231.
[3] Scirica BM,Bhatt DL,Braunwald E,et al. Saxagliptin and cardiovascular outcomes in patients with type 2 diabetes mellitus [J]. New Engl J Med,2013,369(14):1317-1326.
[4] 钱淑英.跨理论模型健康教育对2型糖尿病病人自我效能及生存质量的影响[J].全科护理,2017,15(23):2841-2843.
[5] Guthrie GE,Bogue RJ. Impact of a shared medical ppointment lifestyle intervention on weight and lipid parameters in ndividuals with type 2 diabetes: a clinical pilot [J]. J Am Collutr,2015,34(4):300-309.
[6] 杨小娜,黄贤恩,陈海蓉,等.临床护理路径标准化管理应用在2型糖尿病健康教育中的临床研究[J].中国全科医学,2017,20(S1):236-239.
[7] Petersen KF,Dufour S,Morino K,et al. Reversal of uscle insulin resistance by weight reduction in young,lean,insulin-resistant offspring of parents with type 2 diabetes [J]. Proc Natl Acad Sci USA,2012,109(21):8236-8240.
[8] 龚宝玉.PDCA循环结合阶梯式健康教育护理对2型糖尿病患者自护能力及疾病知识水平的影响[J].山西医药杂志,2017,46(12):1499-1501.
[9] World Health Organization. Diabetes Mellitus:report of a WHO study group [J]. WHO,1985,727(1):1-113.
[10] The Expert Committee on the Diagnosis and the Classification of the Diabetes Mellitus. Report of the expert committee on the diagnosis and classification of diabetes mellitus [J]. Diabetes Care,1997,20(1):1183-1197.
[11] Patricia O. Reduce disease burden and improve lung function roflumilast:approved for moderate to severe COPD:update for the clinical nurse specialist [J]. Clin Nurse Spec,2011,254(37):1078-1080.
[12] 李延飞,陈伟菊,许万萍,等.2型糖尿病患者自我管理行为量表的改良及其信效度检验[J].现代医院,2011, 11(3):149-150.
[13] 吴文源.焦虑自评量表[J].中国心理卫生杂志,1999(增刊):235-238.
[14] 舒良.自评抑郁量表[J].中国心理卫生杂志,1999(增刊):194-196.
[15] Moriyama M,Takeshita Y,Haruta Y,et al. Effects of a 6-month nurse-led self-management program on comprehensive pulmonary rehabilitation for patients with COPD receiving home oxygen therapy [J]. Rehabil Nurs,2015,401(134):1853-1857.
[16] 廖淑芳,廖寒,谭利嘉,等.强化健康教育对慢性阻塞性肺疾病合并2型糖尿病患者治疗效果的影响[J].实用心脑肺血管病杂志,2017,25(S1):53-56.
[17] 吴爱娟,何红,张晓义,等.2型糖尿病临床路径与健康教育路径联合实施的应用[J].江苏医药,2015,41(21):2641-2642.
[18] 陈兰,李萍,王莹.以家庭为中心的健康教育对2型糖尿病患者家庭功能及自我效能的影响[J].中国医药导报,2017,14(15):68-71.
[19] 雷川云,陈卫文,李艳.医患联动式健康教育对住院糖尿病患者治疗的影响[J].中国医药科学,2016,6(15):182-185.
[20] 魏敏.互动式健康教育对糖尿病患者自我管理能力和生活质量的影响[J].中国医药科学,2018,8(4):134-136.
[21] 叶丽丽,张丽丽,陈桃红.健康教育对2型糖尿病合并非酒精性脂肪肝患者的干预效果观察[J].中国医药科学,2018,8(4):149-151.
[22] 覃小慧,佘丽君,冯雪兰,等.探讨互联网平台应用于住院患者健康教育的效果研究[J].中国医药科学,2017,7(14):106-108.
[23] 胡春娟,刘智平,刘秀容,等.全程管理模式对2型糖尿病患者自我效能的影响[J].中国医药科学,2016,6(23):9-11,18.
[24] 杨剑云,陈红剑,伍梅珍.围手术期健康教育护理干预在外科择期全身麻醉手术患者中的应用及效果评价[J].中国医药科学,2016,6(12):115-117,149.
[25] Yang S,Kong W,Hsue C,et al. Knowledge of A1c predicts diabetes self-management and A1c level among Chinese patients with type 2 diabetes [J]. PLOS,2016,11(3):e015 075 3.
[26] 吴纯真,王爱民.微信多媒体平台在社区2型糖尿病患者健康教育中的应用[J].护理实践与研究,2016,13(11):12-14.