Influence of Zhixinxing health education on compliance rate of medical drugs and blood glucose compliance rate in elderly patients with type 2 diabetes
知信行健康教育对老年2型糖尿病患者遵医用药率及血糖达标率的影响

摘要

目的 分析知信行健康教育对2型糖尿病患者遵医行为和血糖达标率的实际影响。方法 选择2022年7月-2023年7月我院接收的112例2型糖尿病患者为研究对象，对照组采用常规护理方案，研究组在对照组基础上给予知信行健康教育干预，比较两组不同时段（干预前、干预后即刻、干预后3个月）糖化血红蛋白、血糖达标率和遵医用药率，同时采用自制行为管理量表（糖尿病知识测定、自我效能、自我行为管理）评价患者的自我管理水平。结果 与对照组相比，研究组患者采用知信行健康教育干预后糖化血红蛋白值较干预前明显降低且低于对照组（P<0.05），血糖达标率及遵医用药率均高于对照组（P<0.05）；组内比较，两组患者经护理干预后糖尿病知识测定、自我效能、自我行为管理评分均较干预前有所增加，且研究组各项评分均优于对照组（P<0.05）。结论 知信行健康教育模式有助于降低2型糖尿病患者的糖化血红蛋白值，能够帮助患者更好的掌握糖尿病的相关知识，提升其对运动和饮食方面的自我管理水平，提高其遵医用药率，同时有利于提高患者的血糖控制水平，达到更高的血糖达标率。

Abstract

Objective To analyze the effect of health education on compliance behavior and blood glucose compliance rate in patients with type 2 diabetes.
Methods 112 patients with type 2 diabetes received in our hospital from July 2022 to July 2023 were selected as the study objects. The control group was given routine nursing program, and the research group was given health education intervention based on the control group. The rates of glycated hemoglobin, blood glucose compliance and compliance with medical drugs were compared between the two groups at different time periods (before intervention, immediately after intervention and 3 months after intervention), and the self-management level of patients was evaluated by using self-made behavior management scale (diabetes knowledge measurement, self-efficacy and self-behavior management).
Results Compared with the control group, after the intervention of Zhixinxing health education, the HBA1c value of the study group was significantly lower than that before intervention (P<0.05), and the rate of blood glucose compliance and compliance with medical drugs were higher than that of the control group (P<0.05). Intra-group comparison showed that after nursing intervention, diabetes knowledge measurement, self-efficacy and self-behavior management scores of the two groups were increased compared with those before intervention, and all scores in the study group were better than those in the control group (P<0.05).
Conclusion   Zhixinxing health education mode can help to reduce the HBA1c value of type 2 diabetes patients, help patients better grasp the relevant knowledge of diabetes, improve their self-management level of exercise and diet, improve their compliance rate of medical drugs, and help to improve their blood sugar control level and achieve a higher blood sugar compliance rate.