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目的探讨居民健康素养综合干预对糖尿病患者疗效的影响,为实施居民健康素养综合干预提供理论依据。方法选取自2015-01/2016-06期间就诊的286例糖尿病患者,采用常规药物降糖的同时,实施居民健康素养综合干预措施。对比干预前后《中国公民健康素养调查问卷》的评估结果;对比干预前后的糖尿病知晓率、规范治疗率以及血糖控制率的情况;对比干预前后的血糖控制情况。结果干预后的受调查者具备健康基础知识和理念的比例为81.82%,具备健康生活方式和行为的比例为82.17%,具备健康技能的比例为81.82%,具备健康素养的比例为54.90%,均高于干预前(χ~2=3.849、15.674、33.567、69.864,P均<0.05);受试者干预后的糖尿病知晓率为77.97%,规范治疗率为60.84%,血糖控制率为37.06%,均显著高于干预前(χ~2=73.149、6.800、118.815,P均<0.05);干预后的空腹血糖为(6.18±1.37)mmol/L,餐后2 h血糖为(9.07±2.14)mmol/L,均显著低于干预前(t=6.617、10.823,P<0.05)。结论居民健康素养综合干预可显著提高糖尿病患者的健康素养水平,提高患者的依从性,更好地管理血糖。
Objective To explore the effect of comprehensive health literacy intervention on the curative effect of diabetic patients and to provide a theoretical basis for the comprehensive intervention of health literacy. Methods A total of 286 diabetic patients treated during the period from January 2015 to June 2016 were enrolled in this study. The routine health-care interventions were carried out simultaneously with conventional drugs. Before and after the intervention compared with the “Chinese Citizens’ Health Literacy Questionnaire” assessment results; compared before and after intervention in diabetes awareness, normative treatment and glycemic control rate; compared before and after intervention in the control of blood glucose. Results After intervention, the respondents had 81.82% of them had the basic knowledge and concept of health, 82.17% had healthy lifestyles and behaviors, 81.82% had health skills and 54.90% had health literacy, both of which (P <0.05). The rate of awareness of diabetes after intervention was 77.97%, the standard treatment rate was 60.84%, the rate of blood glucose control was 37.06% (6.18 ± 1.37) mmol / L and postprandial blood glucose (9.07 ± 2.14) mmol / L after intervention were significantly higher than those before intervention (χ ~ 2 = 73.149,6.800,118.815, P < / L, were significantly lower than before intervention (t = 6.617,10.823, P <0.05). Conclusion Residents health literacy comprehensive intervention can significantly improve the level of health literacy in patients with diabetes, improve patient compliance, and better management of blood sugar.