Effects of structured health education combined with 5A nursing model in patients with diabetic osteoporosis
10.3760/cma.j.cn115682-20191211-04544
- VernacularTitle:结构化健康教育联合5A护理模式在糖尿病性骨质疏松患者中的应用
- Author:
Yawei ZHANG
1
;
Hongli YE
;
Yuanyuan WU
Author Information
1. 郑州大学第一附属医院内分泌及代谢科，郑州 450000
- Keywords:
Diabetes mellitus;
Osteoporosis;
Structured health education;
5A nursing;
Self-management ability;
Blood glucose;
Bone metabolism
- From:
Chinese Journal of Modern Nursing
2020;26(27):3817-3821
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of structured health education combined with 5A nursing model in patients with diabetic osteoporosis (DOP) .Methods:Totally 204 DOP patients admitted into the First Affiliated Hospital of Zhengzhou University from January 2017 to January 2019 were selected by convenient sampling and divided into the observation group and the control group, with 102 patients in each group. Patients in the control group received routine health education, while patients in the observation group received structured health education combined with 5A nursing model. The Diabetes Test (DKT) , Osteoporosis Knowledge Test (OKT) , Summary of Diabetes Self-Care Activities Measure (SDSCA) and Osteoporosis Self-Efficacy Scale (OSES) were used to evaluate the effects of intervention between the two groups. The levels of blood glucose and bone metabolism indexes before and after intervention and the incidence of complications within 6 months after discharge were compared between the two groups.Results:One month after the intervention, the DKT (19.84±3.52) and OKT (20.18±4.40) scores of the observation group were higher than those of the control group ( t=9.271, 5.987) ; 3 months after the intervention, the scores of diet (5.74±0.49) , exercise (4.18±0.85) , blood glucose monitoring (3.62±0.75) , foot care (5.18±1.14) , and drug management (6.13±0.48) in SDSCA of the observation group were higher than those of the control group ( t=7.540, 7.572, 6.584, 5.193, 6.404) ; the scores of exercise efficacy (41.76±3.15) and calcium efficacy (45.61±4.33) in OSES of the observation group were higher than those of the control group ( t=10.881, 7.011) , and the differences were statistically significant ( P<0.01) . After the intervention, the fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin levels of the observation group were lower than those of the control group, and the levels of bone alkaline phosphatase and osteocalcin were higher than those of the control group, and the differences were statistically significant ( P<0.01) . During the 6-month follow-up, there was no statistically significant difference in the incidence of complications between the observation group and the control group ( P>0.05) . Conclusions:Structured health education combined with 5A nursing for DOP patients can improve their disease awareness, enhance their disease self-management ability and self-efficacy, and have positive significance in improving the blood glucose and bone metabolism indicators.
