梁志薇 徐卫刚 陈晨 彭德荣

摘 要 目的：探討健康教育管理模式对社区糖尿病患者血糖水平和用药依从性的干预效果的影响。方法：将从电子健康档案内抽取60例社区糖尿病患者以单纯随机法分为对照组（30例）和研究组（30例）。对照组中有男性17例，女性13例，平均年龄（50.0±1.4）岁；研究组中有男性18例，女性12例，平均年龄（50.5±1.5）岁。对对照组患者实施常规健康宣教，对研究组患者实施健康教育管理模式，比较两组患者的血糖水平和用药依从性。结果：干预前两组患者的空腹血糖、餐后2 h血糖水平以及用药依从率差异无统计学意义（P>0.05），干预1年后研究组患者空腹血糖和餐后2 h血糖水平显著低于对照组，用药依从率高于对照组，差异均有统计学意义（P<0.05）。结论：健康教育管理模式可有效改善社区糖尿病患者血糖水平，提高治疗依从性。

关键词 糖尿病；社区；健康教育管理模式；效果

中图分类号：R587.1 文献标志码：A 文章编号：1006-1533（2020）14-0056-03

Influence of health education management mode on the intervention effect of type 2

diabetic patients in the community

LIANG Zhiwei1， XU Weigang2， CHEN Chen3， PENG Derong4（1. Nursing Department of Pengpuxincun Community Health Service Center of Jingan District， Shanghai 200435， China； 2. General Practice Department of Pengpuxincun Community Health Service Center of Jingan District， Shanghai 200435， China； 3. Office of Pengpuxincun Community Health Service Center of Jingan District， Shanghai 200435， China； 4. Director Office of Pengpuxincun Community Health Service Center of Jingan District， Shanghai 200435， China）

ABSTRACT Objective： To explore the influence of health education management mode on the intervention effect of blood glucose level and medication compliance of diabetes patients in the community. Methods： Sixty diabetes patients in the community were selected from the electronic health records and according to the simple random method divided into a control group and a research group with 30 cases each. There were 17 males and 13 females in the control group， with an average age of （50.0±1.4） years； there were 18 males and 12 females in the research group， with an average age of （50.5±1.5） years. The patients in the control group received routine health education， the patients in the research group received health education management mode， and the blood sugar level and medication compliance were compared between the two groups. Results： There was no significant difference in fasting blood glucose， 2 hours postprandial blood glucose and drug compliance between the two groups before intervention（P>0.05）， after 1 year of intervention， the fasting blood glucose and 2h postprandial blood glucose levels of the research group were significantly lower than those of the control group， the medication compliance rate of the research group was higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion： The health education management mode can effectively improve the blood glucose level of diabetic patients in the community and improve the treatment compliance.

KEY WORDS diabetes mellitus； community； health education management mode； effect

由于社区糖尿病患者对于糖尿病相关知识了解不够，易出现用药依从性差、康复运动方式不恰当、营养饮食不均衡等情况，给社区糖尿病管理工作增加了一定难度[1]。以前医院对社区糖尿病患者所使用的常规健康宣教方式并不能保证患者能够有效控制血糖水平及治疗依从性，继而寻找一种更为科学、有效健康教育管理模式的作用和意义重大[2]。本文旨在探索健康教育管理模式干预社区糖尿病患者的效果。

1 对象与方法

1.1 对象

2018年1-3月在上海彭浦新村街道社区卫生服务中心电子健康档案内以单纯随机抽样法抽取60例社区糖尿病患者。纳入……