“家庭树”教育模式对贵州省2型糖尿病患者家族成员治疗依从性的影响

Abstract
Figure/Table
References (27)
Related Citation (15)

Download: PDF (701 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To establish a new diabetes education model with diabetic families as the whole, and to explore its impact on the treatment compliance of type 2 diabetic patients. Methods A total of 160 patients with type 2 diabetes who were admitted to the First People’s Hospital of Zunyi from January 2017 to October 2018 were selected as the research objects. They were divided into control group and experimental group according to the random number table method, with 80 cases in each group. The control group adopts regular health education, and the experimental group adopts the “family tree” education model on the basis of the control group. The differences in compliance, biochemical indicators, family diabetes prevalence, hypoglycemia incidence, and rehospitalization rates between the two groups after intervention were observed. Results After the intervention, the compliance of patients of the two groups improved, while the compliance of the experimental group after intervention was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). The levels of fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPBG) and glycosylated hemoglobin (HbA1c) after intervention in the two groups were all lower than before intervention, and the differences were statistically significant (all P ＜ 0.05); in the experimental group, the levels of FBG, 2hPBG and HbA1c were all lower than the control group, and the differences were statistically significant (all P ＜ 0.05). The family prevalence, hypoglycemia incidence, and rehospitalization rate of patients in the experimental group after intervention were lower than those in the control group, and the differences were all statistically significant (all P ＜ 0.05). The awareness rate of family health education knowledge, family members’ health behavior supervision rate, and effective early warning rate of family members’ complications in the experimental group were higher than those in the control group, and the differences were all statistically significant (all P ＜ 0.05). Conclusion “Family tree” education model can improve the self-management behavior of patients with type 2 diabetes and improve patient compliance with treatment.

Key words： Diabetes mellitus Educational model of family tree Compliance Health education

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YU Jie1 YANG Ping2▲ XIE Wenya3 JIANG Chengyan3 LI Jindie3 WENG Yue3

Cite this article:

YU Jie1 YANG Ping2▲ XIE Wenya3 JIANG Chengyan3 LI Jindie3 WENG Yue3. Effect of “family tree” educational mode on compliance of family members with type 2 diabetes mellitus patients in Guizhou Province[J]. 中国医药导报, 2021, 18(10): 176-179,188.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I10/176

[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2017年版）[J].中华糖尿病杂志，2018，10（1）：4-66.
[2] Delahanty LM. Weight loss in the prevention and treatment of diabetes [J]. PM，2017，104（24）：120-121.
[3] Dias TR，Alves MG，Casal S，et al. Promising Potential of Dietary （Poly）Phenolic Compounds in the Prevention and Treatment of Diabetes Mellitus [J]. Curr Med Chem，2017， 24（4）：512-516.
[4] Hermanns N，Kulzer B，Maier B，et al. The effect of an education programme（MEDIAS 2 ICT）involving intensive insulin treatment for people with type 2 diabetes [J]. Patient Education & Counseling，2012，86（2）：226-232.
[5] 赵振华，解薇，杨青敏.同伴支持教育对2型糖尿病患者自我管理效果的Meta分析[J].中华护理杂志，2016，51（3）：356-364.
[6] Hewitt J，Smeeth L，Chaturvedi N，et al. Self management and patient understanding of diabetes in the older person [J]. Diabetic Medicine，2011，28（1）：117-122.
[7] Imperato PJ，Imperato GH. The role of genealogy and clinical family histories in documenting possible inheritance patterns for diabetes mellitus in the pre-insulin era：part 2. Genealogic evidence for type 2 diabetes mellitus in Josephine Imperato’s paternal and maternal lineages [J]. J Community Health，2009，34（6）：553-585.
[8] 赵惠芬，刘春红，陈婷婷.综合医院老年2型糖尿病患者自我管理行为与家庭功能相关性研究[J].糖尿病新世界，2017，20（16）：158-160.
[9] Sathish T，Williams ED，Pasricha N，et al. Cluster randomised controlled trial of a peer-led lifestyle intervention program：study protocol for the Kerala diabetes prevention program [J]. BMC Public Health，2013，13（1）1035.
[10] WHO. Report of the expert committee on diagnosis and classification of diabetics mellitus [J]. Diabetics Care，2010，20：1183-1197.
[11] Moskowitz D，Thom DH，Hessler D，et al. Peer coaching to improve diabetes self-management：which patients benefit most? [J]. J Gen Intern Med，2013，28（7）：938-942.
[12] 刘宏杰，石红梅，邢丽丽.同伴支持干预对2型糖尿病患者知识知晓及自我管理的远期影响研究[J].中国全科医学，2019，22（34）：4240-4245.
[13] 孙晓晖，陈卫平，邢秋燕.知信行护理模式对老年2型糖尿病合并高血压患者焦虑情绪及自我效能的影响[J].中外医学研究，2020，18（22）：100-102.
[14] 梅春丽，吴妙玲，毛丽，等.知信行模式对2型糖尿病患者依从性和自我管理的应用[J].现代医学，2018，46（8）：933-937.
[15] 唐阳，张月娇，詹立娜.系统规范化管理模式干预对糖尿病患者自我行为管理及生活质量的影响[J].中国医药导报，2020，17（16）：171-174.
[16] 姚莉，叶秀利，鞠昌萍，等.糖尿病同伴支持组长的选拔、培训与考核现状[J].中国护理管理，2014，14（11）：1224-1226.
[17] 李向华.同伴支持对2型糖尿病患者自我管理行为及生活质量的影响分析[J].中国医药指南，2014，12（16）：110-111.
[18] 李秀云，徐蓉，刘于，肖春梅.医院—社区—家庭一体化护理照顾模式的构建与实施[J].中国护理管理，2012， 12（5）：18-19.
[19] 黄文贞，韦伟，李德霞，等.2型糖尿病出院患者基于云门诊的虚拟管理[J].护理学杂志，2019，34（17）：1-4.
[20] 于大玲，刘敏，贾喆.医院-家庭护理模式在老年糖尿病出院患者中的应用分析[J].实用临床医药杂志，2017， 21（12）：147-149.
[21] 殷荣平，戴阿娟，王琪，等.糖尿病饮食知识对2型糖尿病患者再入院率的影响[J].中国实用护理杂志，2017， 33（6）：424-427.
[22] 肖晓玲，胡秋秋，刘玉萍，等.家属参与健康教育在2型糖尿病管理中的应用[J].中华护理杂志，2012，47（4）：313-316.
[23] 刘雪仪，魏明杰，钱东福.江苏省农村不同地区糖尿病患者相关知识知晓情况与治疗依从性调查[J].中国全科医学，2017（34）：4315-4321.
[24] 景颖颖，万婕，岳蕴华.自我效能干预结合肌电生物反馈治疗脑卒中偏瘫患者的临床效果[J].中国医药，2019， 14（5）：710-714.
[25] 黎丽嫦.协同护理模式对高血压病合并2型糖尿病患者治疗依从性及自我效能感的影响[J].中国医药科学，2020，10（15）：145-148.
[26] 赵小磊，黄厚强，郑思琳，等.基于自我效能的干预对糖尿病患者自我管理及行为影响的系统评价[J].中国实用护理杂志，2019，35（8）：631-639.
[27] 李冬静，邢凤梅，董春艳，等.基于自我效能理论的护理干预对老年糖尿病病人饮食自我管理行为的长期影响[J].护理研究，2020，34（5）：897-899.