|
|
|
| Application effect of mind mapping based feedback method in health education of hypoglycemia in elderly patients with type 2 diabetes#br# |
| LI Wufen1,2 SUN Shanbin1,2 DING Panpan1 ZHANG Junchao2 SHI Hui3 ZHANG Yuanling1 YOU Min1 ZHU Xiaoling1 |
1.Department of Rehabilitation, the Second Affiliated Hospital of Anhui University of Chinese Medicine, Anhui Province, Hefei 230001, China;
2.Department of Rehabilitation, Ward of Fangxing Community Health Service Center, Baohe District, Anhui Province, Hefei 230000, China;
3.School of Nursing, Anhui University of Chinese Medicine, Anhui Province, Hefei 230038, China |
|
|
|
Abstract Objective To evaluate the effect of mind mapping based feedback method in health education of hypoglycemia in elderly patients with type 2 diabetes mellitus. Methods A total of 62 elderly patients with type 2 diabetes who were hospitalized in the Second Affiliated Hospital of Anhui University of Chinese Medicine from January 2019 to January 2021 were selected. Random number table method was used to divide them into control group and mapping group, with 31 cases in each group. The responsible nurses in the control group received routine health education after admission, and the mapping group received the knowledge education of hypoglycemia prevention and treatment with mind mapping based feedback method. After ten days of education, the awareness rate of hypoglycemia knowledge (concept, cause, symptoms, treatment and prevention), the retest rate of hypoglycemia 15 min later, the incidence of hypoglycemia, and the blood glucose level before the next meal were compared between two groups. Results After ten days of education, the knowledge awareness rate of hypoglycemia in the mapping group was higher than that before education, and the knowledge awareness rate of hypoglycemia and the retest compliance rate of hypoglycemia after 15 min were higher than those in the control group (P ＜ 0.05). The incidence of hypoglycemia during hospitalization and blood glucose before the next meal were lower than those in the control group, with statistical significance (P ＜ 0.05). Conclusion Health education for elderly patients with type 2 diabetes can improve their awareness rate of hypoglycemia and reduce the incidence of hypoglycemia by using mind mapping based feedback method.
|
|
|
|
|
|
[1] 廖二元，袁凌青.内分泌代谢病学[M].北京：人民卫生出版社，2019：551-559.
[2] 肖凌凤，迟金凤，孟利平，等．糖尿病病人发生低血糖不同纠正方法与血糖上升关系的研究[J].护理研究，2019， 33（5）：843-846.
[3] Sheu WH，Ji LN，Nitiyanant W，et al. Hypoglicemia is associated with increased worry and lower quality of life among patients with typez diabetes treaed with oral antihyperlycemic agents in the Asia-Pacific region [J]. Diabetes Res Clin Pract，2012，96（2）：141-148.
[4] 李饶，袁丽，郭晓蕙，等．中国２型糖尿病患者低血糖知识现状及影响因素分析[J].华西医学，2016，31（1）：13-15.
[5] Buzan T.思维导图[M].叶刚，译.北京：中信出社，2009：15-61．
[6] Chen Y，Xiao H，Lin X. Developing a mind map-based life review program to improve psychological well-being of cancer patients：a feasibility study [J]. Psychooncology，2018，27（1）：339-342.
[7] 王静，柯炜.回授法在慢性病管理中的应用进展[J].中华现代护理杂志，2018，24（19）：2349-2352.
[8] 陈婕，娄小平，申红霞，等.回授法饮食管理对腹膜透析患者饮食依从性及营养状况的影响[J].中华护理杂志，2019，54（4）：495-500.
[9] 付江瑜.思维导图联合回授法对鼻咽癌放疗后患者吞咽功能、自护能力与生活质量的影响[J].护理实践与研究，2019，16（12）：1-4.
[10] 程琳，许瑞宝.思维导图结合回授法在类风湿关节炎护理中的应用[J].中国卫生标准管理，2019，10（14）：140-142.
[11] 中华医学会内分泌学分会.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）：4-67.
[12] 中华医学会内分泌学分会.中国糖尿病患者低血糖管理的专家共识[J].中华内分泌代谢杂志，2012，28（8）：614-618.
[13] 中华医学会糖尿病学分会护理及糖尿病教育学组.中国糖尿病护理及教育指南[M].2009：57.
[14] 中华医学会糖尿病学分会.中国糖尿病患者胰岛素使用教育管理规范[M].天津：天津科学技术出版社，2011：42.
[15] 吕仲兰，陈爱民.低血糖急救教育转盘设计与应用对糖尿病患者低血糖风险的影响[J].护理与康复，2016，15（10）：991-993.
[16] 陈晓珊，陈丹红，吴春芳.品管圈对糖尿病患者健康教育及低血糖发生率的影响[J].中国卫生标准管理，2016， 13（10）：201-203.
[17] 李小梅，余桂健，温朝珍.微课教育对老年糖尿病患者血糖控制效果及低血糖知识知晓率的影响[J].内科，2020， 15（2）：233-234，249.
[18] 王慧馨，何恩恩，湛献能.护士引领的同伴教育在2型糖尿病患者低血糖管理中的效果[J].中国社区医师，2019， 35（21）：140-141.
[19] 吴辽芳，胡婷，李映兰，等.回授法用于住院糖尿病患者低血糖防治及药物知识教育[J].护理学杂志，2019，34（8）：85-88.
[20] 汤涛，梁玲，李玮.分析思维导图在老年糖尿病患者低血糖健康教育中的价值研究[J].临床医药文献电子杂志，2019，6（70）：102.
[21] 阿孜古丽·艾海提，陈茜，马德林，等．胰岛素强化治疗糖尿病住院患者低血糖发生率及其危险因素分析[J].中国糖尿病杂志，2014，22（3）：234-236.
[22] Gómez-Huelgas R，Guijarro-Merino R，Zapatero A，et al. The frequency and impact of hypoglycemia among hospitalized patients with diabetes：a population-based study [J]. J Diabetes Complications，2015，29（8）：1050-1055.
[23] Shankar J. Patients’memory for medical information [J]. J R Soc Med，2003，96（10）：520.
[24] 张东辉，刘琳，孙晨，等.糖尿病患者低血糖三种纠正方法效果比较[J].护理学杂志，2012，27（1）：6-7.
[25] 周莹，陶宝明，梁静.不同食物纠正老年糖尿病患者夜间低血糖的效果比较[J].中华现代护理杂志，2020，26（29）：4052-4056.
[26] 张先庚，李燕，张夏梦，等.正念干预对社区老年2型糖尿病合并抑郁状态患者血糖和抑郁水平的影响[J].成都医学院学报，2020，15（3）：74-77.
[27] 任伶俐，宋湛，崔素芬，等.中老年2型糖尿病患者糖尿病痛苦现状及影响因素[J].成都医学院学报，2020，15（6）：51-54. |
|
|
|
