翁玲 郑丹

[摘要] 目的 分析健康教育对提高老年糖尿病患者服药依从性的影响。方法 选择2016年11月—2017年11月之间某社区医院收治的老年糖尿病患者70例作为研究对象，随机分为观察组和对照组，每组患者35例，对照组患者接受定期随访的常规护理，观察组患者在定期随访的同时针对性的开展健康教育，对比分析两组患者服药依从性。结果 实施健康教育之前，两组患者的服药依从性差异无统计学意义（P>0.05），实施健康教育之后，观察组患者的服药依从性显著高于对照组患者，健康教育实施6个月后，观察组患者的满意度显著高于对照组，差异有统计学意义（P<0.05）。结论 对老年糖尿病患者加强健康教育能够显著提高患者的服药依从性，提高患者的生活质量，具有较高的应用价值。

[关键词] 健康教育；老年糖尿病；服药依从性

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2018）02（b）-0145-02

Effect of Health Education on Improving Compliance of Diabetic Patients Taking Drugs

WENG Ling， ZHENG Dan

Fujian Center for Disease Prevention and Control， Fuzhou， Fujian Province， 350001 China

[Abstract] Objective This paper tries to analyze the impact of health education on improving adherence to medication for elderly patients with diabetes. Methods A total of 70 elderly patients with diabetes admitted to a community hospital between November 2016 and November 2017 were randomly selected into the observation group and the control group， with 35 patients in each group. The control group received regular care for regular follow-ups. The patients in the observation group were given targeted health education at the same time as the regular follow-up， and the compliance of the two groups was compared. Results Before the implementation of health education， there was no significant difference in medication compliance between the two groups of patients（P>0.05）. After the implementation of health education， the compliance of the observation group was significantly higher than that of the control group， and after 6 months of implementation of health education， the satisfaction of the observation group was significantly higher than that of the control group， with a significant difference（P<0.05）. Conclusion Strengthening health education for elderly patients with diabetes can significantly improve patients' compliance with medication and improve their quality of life， which has a high application value.

[Key words] Health education； Elderly diabetes； Medication compliance

糖尿病主要是由于遺传因素及免疫因素等影响而使得机体胰岛功能减退，体内的糖类物质出现了代谢障碍，进而患者出现代谢紊乱综合征，血糖浓度异常升高[1]。现代社会人们生活水平不断提升，糖尿病的发病率也呈上升趋势，糖尿病属于一种终身疾病，治疗过程是长期的，要相对血糖进行良好的控制及保护靶器官，患者就需要科学饮食、注意运动，同时不断提高患者的服药依从性[2]。每年都有很多糖尿病患者因为没有按照医嘱服药而出现急慢性并发症的问题，服药依从性指的是患者的服药行为与医疗指导的一致性程度，糖尿病患者服药依从性的高低与糖尿病并发症的发生有着密切的关联[3]。健康教……