江丽++和建冰

[摘要] 目的 观察个性化健康教育对糖尿病患者遵医行为、血糖控制及生活质量的影响。 方法 选择360例糖尿病患者，随机分为观察组及对照组各180例，观察组采用个性化健康教育模式，对照组采用常规健康宣教模式，对两组遵医率、血糖控制进行比较，观察组间是否存在差异。 结果 在健康宣教1个月后，两组患者的遵医行为、血糖控制均较宣教前有一定改善，但观察组的遵医行为、血糖控制明显优于对照组，差异有统计学意义（P<0.05）。 结论 对糖尿病患者实行个性化健康教育，可以提高其遵医行为及生活质量，维持血糖的正常水平，改善整体护理质量，值得临床推广应用。

[关键词] 个性化健康教育；糖尿病；临床护理；效果观察

[中图分类号] R587.1 [文献标识码] B [文章编号] 1674-4721（2014）08（a）-0135-04

Influence of individualized health education on diabetics

JIANG Li1 HE Jian-bing2

1.The First Department of Internal Medicine，People′s Hospital of Longhua New District in Shenzhen City，Shenzhen 518009，China；2.Community Health Service Center，Guanlan People′s Hospital of Longhua New District in Shenzhen City，Shenzhen 518100，China

[Abstract] Objective To observe the influences of individualized health education on treatment compliance，blood glucose control，and quality of life in diabetics. Methods Three hundred and sixty diabetics were evenly divided into observation group and control group in randomly.In the observation group，the individualized health education was provided， while in the control group， he conventional health education was adopted.The rate of treatment compliance and blood glucose control in the two groups were compared and whether there were significant differences between groups was observed. Results After one-month health education，treatment compliance and blood glucose control certainly improved in both groups compared with those before，but these two indexes in the observation group were obviously superior to those in the control group， which displayed statistical significances （P<0.05）. Conclusion Implementation of individualized health education in diatetics can improve their treatment compliance and qualities of life，maintain blood glucose in normal level，and better the overall nursing quality，which is worthy of expansion in clinic.

[Key words] Individualized health education；Diabetes mellitus；Clinical nursing；Effect observation

糖尿病是一组由遗传和环境因素相互作用引起的临床综合征，以慢性高血糖为主要临床表现。在我国糖尿病已成为继癌症、心血管疾病之后第三大威胁人们生命最严重的常见病、多发病。因人们对糖尿病的相关知识缺乏认识，大多数人只知道药物治疗，对饮食控制、坚持运动、自我血糖监测等非药物治疗认识不足，直接影响治疗效果。随着现代医学模式的改变，健康教育已成为改变人们不良健康行为和影响健康行为的重要方法，从而达到提高健康水平的目标[1]。健康教育是一项投资少、产出多、效益大的保健措施。美国医药协会调查显示，每花1美元于健康教育上，就会节省6美元的医疗费用[2]。因为许多疾病都与不良生活方式和卫生习惯有关，因此，加强糖尿病健康教育非常重要。良好的健康教育可充分调动患者的主观能动性，提高治疗依从性，有利于疾病控制达标，防止各种并发症的发生和发展，提高患者的生活质量[3]。……