持續健康教育在糖尿病并發視網膜病變患者中的應用效果觀察

[摘要] 目的 探討持續健康教育在糖尿病并發視網膜病變患者中的應用效果。方法 研究對象為方便選取2014年2月—2016年1月該院所收治的75例糖尿病并發視網膜病變患者，將收治的患者隨機分為常規組和持續健康教育組。常規組行常規健康教育；持續健康教育組施行持續健康教育。比較兩組患者①對護理服務的滿意度；②用藥知識、飲食知識、運動知識、血糖監測知識評分；③血糖達標率、視力恢復率。 結果 ①持續健康教育組患者對護理服務的滿意度顯著比常規組高，P<0.05，差異有統計學意義；②持續健康教育組用藥知識、飲食知識、運動知識、血糖監測知識評分顯著比常規組好，P<0.05，差異有統計學意義；③持續健康教育組血糖達標率、視力恢復率顯著比常規組高，P<0.05，差異有統計學意義。結論 持續健康教育在糖尿病并發視網膜病變患者中的應用效果確切，可有效提高患者對用藥知識、飲食知識、運動知識、血糖監測知識的掌握情況，并自覺提高自身健康行為，促進血糖達標和視力恢復，患者對護理服務滿意，值得推廣。

[關鍵詞] 持續健康教育；糖尿病并發視網膜病變患者；應用效果

[中圖分類號] R473.77 [文獻標識碼] A [文章編號] 1674-0742（2016）10（b）-0162-03

[Abstract] Objective To explore the effect of continuous health education in patients with diabetes complicated with retinopathy. Methods Convenient selected subjects were 75 patients with diabetic retinopathy in our hospital from February 2014 to January，2016. The patients were randomly divided into routine group and continuous health education group. Regular health education in the routine group and continuing health education in the continuing health education group. Compared with the two groups of patients ①on the satisfaction of nursing services； （2） medication knowledge， diet knowledge， exercise knowledge， blood glucose monitoring knowledge score；③blood sugar compliance rate， visual recovery rate. Results ①continuing health education of patients on nursing service satisfaction was significantly higher than that of the conventional group， P < 0.05 the difference was statistically significant；②continuing health education group medication knowledge， dietary knowledge， knowledge， knowledge of blood glucose monitoring scores were significantly better than the conventional group， P < 0.05 the difference was statistically significant； ③continuing health education group， the standard rate of blood glucose the visual acuity was significantly higher than that of the conventional group， P < 0.05the difference was statistically significant. Conclusion Effect of continuous health education in patients with diabetic retinopathy in exactly， can effectively improve the patients on medication knowledge， dietary knowledge， exercise knowledge， blood glucose monitoring knowledge， and improve their health conscious behavior， promote blood glucose and visual acuity recovery， satisfaction of patients to nursing service， worthy of promotion

[Key words] Continuing health education； Patients with diabetic retinopathy； Application effect

糖尿病并發視網膜病變患者為糖尿病常見慢性微血管并發癥，可導致雙眼失明，致盲率高。臨床對糖尿病并發視網膜病變患者的治療主要為藥物治療，但研究顯示，通過健康教育，促使患者保持規律運動和健康飲食，堅持用藥，可有效改善代謝指標，延緩糖尿病視網膜病變進展，促進糖尿病并發視網膜病變患者生存質量的提高[1-2]?！?br>