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Effect of Health Education on Self-management Mode among Diabetes patients in community
Pages: 20-23
Year: Issue:  1
Journal: Chinese Journal of Health Education

Keyword:  CommunityDiabetes mellitusSelf-management modelHealth education;
Abstract: Objective Study on the effect of self-management mode of community health education on diabetes pa-tients.Methods The choice of community diabetic patients 120 cases,were randomly divided into intervention group and control group with 60 cases in each group.Self-management mode of health education for the patients in the intervention group,the control group only received conventional health education,the study period of 1 years.Detection of biochemical indexes and questionnaire investigation to the patients in the education front,rear,change the contrast before and after the two groups of patients with biochemical index and the rate of education,health awareness of diabetes related knowledge be-havior change,a comprehensive analysis of effects of two groups.Results After the intervention,the intervention group and the control group of biochemical indexes were improved,fasting blood glucose [(6.63 ±0.61)vs (7.51 ±0.88)] mmol /L,HbA1c [(6.58 ±0.46)vs (7.15 ±0.48)]%,total cholesterol [(5.68 ±0.66)vs (6.22 ±0.57)]mmol/L,there were significant differences in the improvement of biochemical parameters in the two groups (P <0.01),after the intervention,the awareness rate of the intervention group and the control group about the diagnostic criteria for diabetes (93.3% vs 66.7%),the main symptoms of diabetes (95.0% vs 75.0%),obesity is a risk factor (86.7% vs 63.3%), cigarette smoking is a risk factor (76.7% vs 50.0%),the main organ damage in patients with diabetes (90.0% vs 55.0%),feel good after medication adherence (91.7% vs 71.7%),they were all higher than before the intervention, the difference between the two groups was statistically significant (P <0.01),at the same time,after the intervention,the healthy behavior ability score were higher,compare intervention group and control group,regular medication [(4.73 ± 0.45)vs (4.48 ±0.50)],reasonable diet [(3.67 ±0.88)vs (2.53 ±0.93)],physical exercise [(3.80 ±1.04) vs (2.77 ±1.27)],disease common management [(3.82 ±0.79)vs (2.83 ±0.69)],the difference was statistically significant (P <0.01).Conclusion Community diabetes self-management health education pattern has better effects than the conventional health education,not only improve glycemic control in patients with diabetes and the rate of awareness rate of related knowledge,more can effectively improve the health behavior of patients,for patients to learn the diabetes self management core skills in learning.The model of health education is of positive significance to the diabetes control,should be actively promoted in the community.
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