健康教育对2型糖尿病合并非酒精性脂肪肝患者的干预效果观察
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摘要
目的 2型糖尿病合并非酒精性脂肪肝患者在临床治疗中接受健康教育的效果讨论研究。方法参与本实验的2型糖尿病合并非酒精性脂肪肝患者共98例,以随机数字表法将所有患者分成两组,医护人员将传统常规护理和健康教育分别应用于对照组和研究组患者临床治疗中,对比分析两组患者的各肝功能指标、生理指标及自我效能感评分。结果经过一段时间的健康教育研究组患者各肝功能及血糖等生理指标均明显低于对照组,同时将两组患者的自我效能感评分组间比较研究组各指标均更高,差异有统计学意义(P<0.05),研究组临床干预效果更突出。结论 2型糖尿病合并非酒精性脂肪肝患者在临床治疗的同时接受健康教育,其能够扩大患者所掌握的病症相关知识面,能够提高其自我管理水平,提高自我效能感评分,这对于控制病情发展、降低血糖水平具有重要作用。
Objective To study the effect of health education on patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease in clinical treatment. Methods A total of 98 patients with type 2 diabetes mellitus and non-alcoholic fatty liver were randomly divided into two groups.The traditional routine nursing and health education were applied to the clinical treatment of the patients in the control group and the study group respectively.liver function index,physiological index and self-efficacy score in two groups were compared.At the same time,the scores of self-efficacy between the two groups were higher than those in the study group,the difference was statistically significant(P < 0.05),and the effect of clinical intervention in the study group was more prominent. Results After a period of health education,the physiological indexes of liver function and blood sugar in the study group were significantly lower than those in the control group. Conclusion During clinical treatment,Patients with type 2 diabetes mellitus complicated with non-alcoholic fatty liver received health education can expand the knowledge of disease,improve the level of self-management and improve the score of self-efficacy,which plays an important role in controlling the development of the disease and reducing the level of blood sugar.
Objective To study the effect of health education on patients with type 2 diabetes mellitus complicated with nonalcoholic fatty liver disease in clinical treatment. Methods A total of 98 patients with type 2 diabetes mellitus and non-alcoholic fatty liver were randomly divided into two groups.The traditional routine nursing and health education were applied to the clinical treatment of the patients in the control group and the study group respectively.liver function index,physiological index and self-efficacy score in two groups were compared.At the same time,the scores of self-efficacy between the two groups were higher than those in the study group,the difference was statistically significant(P < 0.05),and the effect of clinical intervention in the study group was more prominent. Results After a period of health education,the physiological indexes of liver function and blood sugar in the study group were significantly lower than those in the control group. Conclusion During clinical treatment,Patients with type 2 diabetes mellitus complicated with non-alcoholic fatty liver received health education can expand the knowledge of disease,improve the level of self-management and improve the score of self-efficacy,which plays an important role in controlling the development of the disease and reducing the level of blood sugar.
引文
[1]张红妹,王莹.参与型护理模式对2型糖尿病病人自我护理能力和生活质量的影响[J].护理研究,2016,30(30):3809-3811.
[2]刘淑兰.强化健康教育对2型糖尿病病人糖代谢和自我管理的影响研究[J].护理实践与研究,2012,9(13):24-26.
[3]戴莉敏,贡浩凌,方英,等.PDCA循环结合全程健康教育对糖尿病合并非酒精脂肪肝患者随访的效果观察[J].中华护理杂志,2012,47(10):882-885.
[4]程霄霄,朱再胜,郑谊,等.健康教育干预对非酒精性脂肪肝患者遵医行为及生活质量的影响[J].中国现代医生,2014,52(22):105-108.
[5]孙雪玲,刘兴宇,甄艳凤,等.联合微信群的个体化健康教育对2型糖尿病患者认知功能的影响[J].中国现代医学杂志,2016,26(7):58-61.
[6]戴莉敏,真启云,方英,等.临床护理路径标准化管理在糖尿病合并非酒精性脂肪肝患者中的应用[J].护理管理杂志,2012,12(11):775-777.
[7]邓伟中,蔡胜娣,吴丽萍,等.家庭医生服务式健康教育对社区2型糖尿病患者治疗效果的影响[J].海南医学,2016,27(12):2039-2040.
[8]刘香兰,胡朝晖,刘加和,等.西格列汀联合二甲双胍治疗新诊断2型糖尿病伴非酒精性脂肪肝的疗效观察[J].现代实用医学,2016,28(7):894-895.
[9]莫凤娟,黄永柱,肖京芳,等.改良健康教育路径在胰岛素强化治疗2型糖尿病病人中的应用[J].护理研究,2014,28(1):54-55.
[10]刘可可,赵秀丽,沈娟,等.上海市川沙社区2型糖尿病控制率现况调查及影响因素分析[J].中国健康教育,2016,32(6):544-546,550.
[11]王琳,冯淑芝,张蕴,等.健康管理在老年人2型糖尿病并存骨质疏松治疗中的作用[J].中华老年医学杂志,2016,35(11):1212-1216.
[12]杨小娜,黄贤恩,陈海蓉,等.临床护理路径标准化管理应用在2型糖尿病健康教育中的临床研究[J].中国全科医学,2017,20(z1):212-214.
[13]张园园.系统化个体健康教育对改善2型糖尿病患者血糖及临床疗效的影响[J].国际护理学杂志,2016,35(22):3100-3102.
[14]邹艳波,刘灿,陈玲启,等.应用品管圈提高2型糖尿病住院患者健康教育落实率[J].中国现代医学杂志,2015,25(34):77-81.
[2]刘淑兰.强化健康教育对2型糖尿病病人糖代谢和自我管理的影响研究[J].护理实践与研究,2012,9(13):24-26.
[3]戴莉敏,贡浩凌,方英,等.PDCA循环结合全程健康教育对糖尿病合并非酒精脂肪肝患者随访的效果观察[J].中华护理杂志,2012,47(10):882-885.
[4]程霄霄,朱再胜,郑谊,等.健康教育干预对非酒精性脂肪肝患者遵医行为及生活质量的影响[J].中国现代医生,2014,52(22):105-108.
[5]孙雪玲,刘兴宇,甄艳凤,等.联合微信群的个体化健康教育对2型糖尿病患者认知功能的影响[J].中国现代医学杂志,2016,26(7):58-61.
[6]戴莉敏,真启云,方英,等.临床护理路径标准化管理在糖尿病合并非酒精性脂肪肝患者中的应用[J].护理管理杂志,2012,12(11):775-777.
[7]邓伟中,蔡胜娣,吴丽萍,等.家庭医生服务式健康教育对社区2型糖尿病患者治疗效果的影响[J].海南医学,2016,27(12):2039-2040.
[8]刘香兰,胡朝晖,刘加和,等.西格列汀联合二甲双胍治疗新诊断2型糖尿病伴非酒精性脂肪肝的疗效观察[J].现代实用医学,2016,28(7):894-895.
[9]莫凤娟,黄永柱,肖京芳,等.改良健康教育路径在胰岛素强化治疗2型糖尿病病人中的应用[J].护理研究,2014,28(1):54-55.
[10]刘可可,赵秀丽,沈娟,等.上海市川沙社区2型糖尿病控制率现况调查及影响因素分析[J].中国健康教育,2016,32(6):544-546,550.
[11]王琳,冯淑芝,张蕴,等.健康管理在老年人2型糖尿病并存骨质疏松治疗中的作用[J].中华老年医学杂志,2016,35(11):1212-1216.
[12]杨小娜,黄贤恩,陈海蓉,等.临床护理路径标准化管理应用在2型糖尿病健康教育中的临床研究[J].中国全科医学,2017,20(z1):212-214.
[13]张园园.系统化个体健康教育对改善2型糖尿病患者血糖及临床疗效的影响[J].国际护理学杂志,2016,35(22):3100-3102.
[14]邹艳波,刘灿,陈玲启,等.应用品管圈提高2型糖尿病住院患者健康教育落实率[J].中国现代医学杂志,2015,25(34):77-81.