|
|
|
| An effectiveness evaluation of health education on diabetes patients |
| ZHANG You-ping, YE Dong-xian, ZHANG Li-bo
|
| Beilun District People's Hospital,Ningbo,Zhejiang,315800,China |
|
|
|
|
Abstract Objective To evaluate the effectiveness of health education approach on the awareness of the diabetes knowledge among diabetic patients and to explore its influencing factors. Methods A total of 130 patients with diabetes mellitus who were hospitalized from 2015 to 2016 were enrolled in this study. Using self-control method,we compared the awareness rates of the diabetes knowledge at pre -hospital admission with pre-discharge from the hospital after the health education,and a logistic model was used to analyze related factors which might influence the awareness of the diabetes knowledge. Results Through health education,awareness rate of overall diabetes knowledge among patients increased from 18.90% to 75.59%. All the awareness rates of diabetes knowledge points increased significantly（all P<0.001）. After health education,the awareness rates of the knowledge on diabetes diagnosis basis and harmfulness of diabetes were still at the lowest level,accounting for 58.27% and 61.42% respectively,while the awareness rates of other diabetic knowledge were higher than 70%. Multivariable logistic regression analysis indicated that the OR value of improvement of overall awareness rate among diabetes patients younger than 50 years old was 0.040,compared to patients older than 50 years. The OR values among diabetes patients with less than 10 years,10-19 years disease course were only 0.003 and 0.012,compared with patients with more than 20 years disease course. Conclusion Health education can effectively improve the awareness rates of diabetes knowledge in general. However,the intervention effectiveness was unsatisfactory among elder people or patients with short disease course.
|
|
Received: 13 February 2017
Revised: 23 February 2017
Published: 25 October 2017
|
|
|
|
|
|
[1] 董艳,柏平华,杨欢敏,等.2型糖尿病牙周炎患者健康教育效果评价[J].预防医学,2016,28（7）：741-743.
[2] 沈鹏,林鸿波,李小勇,等. 鄞州区糖尿病患者生活方式调查[J]. 预防医学,2016,28（10）：1044-1046.
[3] YANG W Y,LU J M,WENG J P,et al. Prevalence of diabetes among men and women in China[J]. N Engl J M,2010,362（12）：1090-1101.
[4] 许向东,翟琦.农村居民糖尿病防治知识知晓率调查[J]. 浙江预防医学,2012,24（11）：79-81.
[5] 赵宏伟,袁荣华,刘建峰. 健康教育对2型糖尿病患者的影响分析[J]. 中国当代医药,2015,22（33）：153-155.
[6] 孟珏. 2型糖尿病患者健康教育和行为干预的临床效果观察[J]. 中国初级卫生保健,2017,31（1）：65-66.
[7] 孙惠金,李荣. 个性化健康教育对糖尿病患者生活质量及遵医行为的影响[J]. 现代临床护理,2010,9（4）：54-55,32.
[8] 龚媛媛. 健康教育对糖尿病患者的影响[J]. 中国伤残医学,2014,22（3）：260-261.
[9] 2014年ADA 糖尿病医学诊疗标准选登[J]. 中国全科医学,2014,17（17）：1939-1942.
[10] 聂雪琼,李英华,李莉. 2012年中国居民健康素养监测数据统计分析方法[J]. 中国健康教育,2014,30（2）：178-181.
[11] 王继勇,林旷德. 500例糖尿病患者实施健康教育效果评价[J]. 当代护士（专科版）,2012（6）：170-171.
[12] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）[J]. 中华内分泌代谢杂志,2014,30（10）：893-942.
[13] 陈晓晟,赵秀玲. 糖尿病健康教育在糖尿病并发症预防中的作用[J].齐鲁护理杂志,2011,17（28）：113-114.
[14] 陈雪容. 个性化健康教育对老年糖尿病患者的影响[J]. 中国医药导报,2010,7（7）：73-74.
[15] 陆宝文. 糖尿病患者健康教育干预及其效果评价[J].现代实用医学,2010,22（2）：220-221.
[16] 牛林艳,黄金.同伴教育在糖尿病健康教育中的应用现状[J].中华护理杂志,2014,49（1）：79-82.
[17] 吕雄 丛晶 张旭. 护理干预对糖尿病病人知晓率、治疗率、控制率的影响评价[J]. 中外健康文摘,2013,10（29）：313-314.
[18] 封三花,马红英,钱金花,等. 健康教育及行为干预对空巢2型糖尿病患者的影响[J]. 当代护士（上旬刊）,2016（2）：146-148.
[19] 徐林莉,宋慧君,徐枫,等. 家庭医生制服务对社区2型糖尿病患者健康干预效果分析[J]. 上海医药,2017（2）：46- 48,62. |
|
|
|
