行为改变联合传统健康教育在2型糖尿病合并脑梗死患者中的应用效果

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Abstract Objective To investigate the effect of behavioral change combined with traditional healthy education in patients with type 2 diabetes mellitus complicated with cerebral infarction. Methods Clinical data of 100 patients with type 2 diabetes mellitus complicated with cerebral infarction admitted to West China Hospital, West China School of Medicine Sichuan University from March 2017 to March 2018 were retrospectively analyzed. According to different nursing modes, they were divided into two groups, 50 patients in the control group (traditional health education mode) and 50 patients in the observation group (behavior change measures). Blood glucose control knowledge score, self-efficacy behavior ability score, fasting blood glucose, 2 h postprandial blood glucose, glycosylated hemoglobin level, national institutes of health stroke scale (NIHSS) score and daily living ability scale (ADL) score before and after intervention were observed in the two groups, and patient satisfaction in the two groups was observed. Results Patients in the two groups were compared in pre-intervention glycemic control knowledge score, self-efficacy behavioral ability score, fasting blood glucose, postprandial 2 h blood glucose and hemoglobin level, NIHSS score and ADL score, there were no significant differences between the two groups (P ＞ 0.05). After intervention, the glycemic control knowledge score, self-efficacy behavior ability score and ADL score of patients in the two groups were all higher than those in the same group before intervention, and the fasting blood glucose, 2 h postprandial blood glucose, hemoglobin level and NIHSS score were all lower than those in the same group before intervention. In addition, patients in the observation group were higher than those in the control group in terms of glycemic control knowledge score, self-efficacy behavior ability score and ADL score after intervention, fasting blood glucose, 2 h postprandial blood glucose, hemoglobin level and NIHSS score, and the satisfaction of patients in the observation group was higher than that in the control group, the differences were statistically significant (all P ＜ 0.05). Conclusion The application of behavioral change combined with traditional healthy educaticon in patients with type 2 diabetes mellitus complicated with cerebral infarction can improve patients′ knowledge of blood glucose control, self-efficacy, improve blood glucose level, reduce nerve function injury, and improve life ability and satisfaction, which is worthy of clinical promotion and application.

Key words： Behavior change Traditional health education model Type 2 diabetes Cerebral infarction

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	LONG Shiyan LI Ming TU Shuangyan YANG Rong

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LONG Shiyan LI Ming TU Shuangyan YANG Rong. Effect of behavioral change combined with traditional healthy education in patients with type 2 diabetes mellitus complicated with cerebral infarction[J]. 中国医药导报, 2019, 16(4): 173-176,封三.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I4/173

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