目的 探讨追踪健康教育管理对老年糖尿病患者不良生活方式的干预作用.方法 对68例老年糖尿病患者进行追踪健康教育及指导,使其对自我健康行为进行管理,采用自身对照方法追踪患者出院后一年的生活方式、规范治疗行为的改变效果及对再住院率的影响并进行比较.结果 干预管理后患者对糖尿病知识的掌握情况、生活方式改善、治疗依从行为较管理前有明显的改变,平均年内再住院率比管理前减少,差异均有统计学意义(P<0.05).结论 追踪健康教育管理不仅可以持续强化老年糖尿病患者对自身疾病知识的认识,改善不良生活行为对疾病的影响,同时教会他们一套自我管理和保健的方法,优化患者生活方式,有效控制血糖,降低危险因素和并发症的发生,提高糖尿病患者生活质量.%Objective To track the health education and management on the lifestyle intervention of elderly patients with diabetes. Methods We tracked the health education and guidance of health behavior self-management of 68 elderly patients with diabetes , enable them to conduct self-health management Way of life one year after discharge, standard treatment effect of behavioral changes and its impact on readmission rates were studied by own control method. Results After intervention, patients had significant improvements in management of diabetes knowledge, change of life style and treatment compliance. The average readmission rate during a year was significantly less than that before health management (P < 0. 05). Conclusions Track study of health education and management can not only strengthen the diabetes knowledge of elderly patients with diseases, reduce the poor impact of lifestyle on the disease, and teach them a set of self-management and health care methods to optimize lifestyle, effectively control blood sugar, reduce risk factors and complications, and finally improve the quality of life for people with diabetes.
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