Objective To investigate the intervention effects of hospital community linkage health education mode on blood glucose indexes and life quality of patients with diabetes mellitus in community.Methods A total of 118 patients with diabetes mellitus who were treated by regular medication and whose blood glucose indexes were still not up to standard were randomly divided into observation group and control group,with 59 patients in each group.The patients in observation group were intervened by hospital community linkage health education mode,however,the patients in control group were intervened by routine hospitalization health education mode.The changes of blood glucose indexes and blood lipid indexes,the Diabetes Knowledge Test (DKT) questionnaire,the diabetes self-management rating scales,the life quality rating scales and the proportion of patients with healthy habits were observed and compared between two groups before and after intervention.Results After intervention,the levels of FBG,2hFBG and HbA1 c in both groups were significantly decreased,as compared with those before intervention (P ＜ 0.05),moreover,which in observation group were significantly lower than those in control group (P ＜ 0.05).Moreover the levels of TG,TC and LDL-C after intervention were significantly decreased in both groups,as compared with those before intervention (P ＜ 0.05),however,the levels of HDL-C were significantly increased in both groups,moreover,there were significant differences in HDL-C levels in observation group before and after intervention (P ＜ 0.05).In addition the levels of TG,TC and LDL-C after intervention in observation group were significantly lower than those in control group (P ＜ 0.05).After intervention,the DKT scores and diabetes self-management rating scales scores in observation group were significantly higher than those before intervention and those in control group after intervention (P ＜ 0.05).After intervention,the satisfaction dimension scores and total scores in observation group were significantly higher than those before intervention (P ＜ 0.05),moreover,the satisfaction dimension scores in observation group after intervention were significantly higher than those in control group (P ＜ 0.05).Besides after intervention,the proportion of patients with regular blood glucose measurement,reasonable diet and keeping reasonable exercise in observation group was significantly higher than that in control group (P ＜ 0.05).Conclusion The hospital-community linkage health education mode can obviously improve the self-management knowledge and skills of patients with diabetes mellitus in community,which can promote blood glucose levels up to standard and improve life quality of patients.%目的 探讨医院-社区联动健康教育模式对社区糖尿病患者血糖指标和生活质量的干预效果.方法 选取经常规药物治疗后,血糖控制仍不达标的2型糖尿病患者118例,随机分为观察组和对照组,每组59例.观察组采用医院-社区联动健康教育模式进行干预,对照组采用常规健康宣教模式进行干预.对比2组患者干预前后的血糖指标、血脂指标、改良的密西根糖尿病知识测试问卷、糖尿病自我管理量表、生活质量量表以及保持健康习惯的患者比例的变化情况.结果 2组患者干预后的FBG、2 hFBG以及HbA1c均显著低于干预前(P＜0.05);观察组干预后FBS、2 hFBG以及HbA1c均显著低于对照组干预后(P＜0.05).2组患者干预后的TG、TC和LDL-C水平均低于干预前(P＜0.05),HDL-C均高于干预前,且观察组HDL-C水平和干预前差异有统计学意义(P＜0.05);观察组干预后TG、TC以及LDL-C均低于对照组干预后(P＜0.05).观察组干预后的密西根糖尿病知识测试问卷评分、糖尿病自我管理量表评分均显著高于干预前和对照组干预后(P＜0.05);观察组干预后的满意维度评分、总分均显著高于干预前,且观察组干预后的满意维度评分显著高于对照组干预后(P＜0.05).干预后,2组定期检测血糖、合理饮食和坚持合理锻炼的比例均较干预前提高,且观察组3个指标的比例均高于对照组(P＞0.05).结论 医院社区联动健康教育模式可显著提高社区糖尿病患者的自我管理知识和技能水平,促进血糖水平的达标,提高患者的生活质量.
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