针对性健康教育对老年2型糖尿病患者糖代谢及生活质量的影响*

摘要目的：观察针对性健康教育对老年2 型糖尿病患者的干预效果及对生活质量的影响，为糖尿病的临床护理提供参考。方法： 将120 例老年2 型糖尿病患者随机分为两组，对照组实施常规健康教育，观察组根据患者的文化水平、心理状况、遵医态度、实际 需求实施针对性健康教育，护理3 个月后观察患者餐后2h 血糖（2hPG）、空腹血糖（FPG）、糖化血红蛋白（HbA1c）变化，并采用抑 郁自评量表(SDS)、焦虑自评量表(SAS)、生活质量评定表(QOL)对患者的生活质量进行评定。结果：观察组护理后2hPG、FPG、 HbA1c 分别为（9.3± 1.4）mmol/L、(6.9± 2.1) mmol/L、（5.1± 1.3）%，低于对照组的（11.3± 1.8）mmol/L、(8.4± 2.6) mmol/L、（6.9± 1.5）%（P<0.05)；观察组完全从医率为65.00 %，高于对照组的40.00 %（P<0.01)；观察组护理后总体健康评分为（92.84± 7.19) 分， 高于对照组的（84.62± 6.91）分（P<0.05)。结论：针对性健康教育有利于提高老年2型糖尿病患者的从医性，提高血糖控制效率，改 善患者的身心功能，提高生活质量。

Impact of Targeted Health Education on Glucose Metabolismand Quality of Life of Elderly Patients with Type 2 Diabetes*

ABSTRACT Objective:To observe targeted health education intervention in elderly patients with type 2 diabetes and the impact on quality of life so as to provide a reference for the clinical care of diabetes. Methods:120 cases of elderly patients with type 2 diabetes were randomly divided into two groups,the control group adopting conventional health education and observation group which is based on the patient''s level of cultural, psychological condition as well as the attitude of compliance of the actual needs of the implementation of targeted health education. After providing clinical care for 3 months, observe the following indicators of patients having had meals: 2h postprandial blood glucose (2hPG), fasting plasma glucose (FPG), changes in glycated hemoglobin (HbA1c), and self-rating Depression scale (SDS), anxiety self-rating scale (SAS), quality of life assessment form (QOL) the quality of life were assessed .Results: After care, observation group''s 2hPG, FPG and HbA1c are respectively (9.3± 1.4) mmol /L (6.9± 2.1) mmol /L and (5.1± 1.3) %, lower than those of the control group which are respectively (11.3± 1.8) mmol / L, (8.4± 2.6) mmol / L and (6.9± 1.5)%(P<0.05); complete medical compliance of observation group was 65.00%, higher than that in the control group 40.00% (P<0.01); observation group''s overall health score is (92.84 ± 7.19), higher than that in the control group, (84.62± 6.91) min (P<0.05).Conclusion: targeted health education for elderly patients with type 2 diabetes is favorable towards improving the efficiency of blood glucose control, the patient''s physical and mental function, and the quality of their lives.