Effect of health education based on outcome-based concept on self-management ability and glycemic control in hospitalized patients with type 2 diabetes
10.3760/cma.j.cn114798-20231007-00210
- VernacularTitle:基于成果导向理念的健康教育对住院2型糖尿病患者自我管理能力及血糖控制的影响
- Author:
Xiaoyan CHEN
1
;
Jiawei WANG
;
Xiujing WANG
;
Jing ZHAN
;
Jingyan TAN
;
Jia LYU
;
Qingying TAN
;
Lingyu ZHENG
Author Information
1. 联勤保障部队第九〇三医院内分泌科，杭州 310013
- Keywords:
Type 2 diabetes;
Health education;
Outcome-based;
Self-management;
Disease control
- From:
Chinese Journal of General Practitioners
2024;23(6):641-646
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of health education based on outcome-based concept on self-management ability and glycemic control in hospitalized patients with type 2 diabetes melittus (T2DM).Methods:A total of 103 T2DM patients admitted in the Endocrinology Department of 903 Hospital of PLA from March 2022 to September 2022 were recruited and randomly divided into study group ( n=52) and control group ( n=51). Routine health education was given to all patients, while additional outcome-based health education was provided by diabetes specialist nurses for the study group during hospitalization. At 12 weeks after discharge, the self-management ability and glycemic control were compared between the two groups. Results:At 12 weeks after discharge, patients in the study group had significantly better self-management ability (dietary control: (4.06±0.75) vs. (3.70±0.88), t=2.50, regular exercise: (3.88±0.62) vs. (3.52±0.94), t=2.30, medical compliance: (4.47±0.51) vs. (4.12±0.64), t=3.14, self blood glucose monitoring: (3.43±0.87) vs. (2.94±0.95), t=2.71, foot care: (3.56±0.57) vs. (2.77±0.87), t=5.42, and management of hyper or hypoglycemia:(3.65±0.72) vs. (3.24±0.96), t=2.48); glycemic control (fasting blood glucose: (6.31±0.90) vs. (6.88±1.37)mmol/L, t=-2.46, 2-h postprandial blood glucose: (8.39±1.64) vs. (9.27±2.50)mmol/L, t=-2.11, HbA1c: (6.76±0.98)% vs. (7.17±0.93)%, t=-2.22). The control rate of HbA1c in the study group was significantly higher and the incidence of hypoglycemia was significantly lower than those in the control group (78.8%(41/52) vs. 58.8%(30/51), χ 2=4.82 and 11.5%(6/52) vs. 29.4%(15/51), χ 2=5.07, respectively). Conclusions:The outcome-based health education can effectively enhance self-management ability and glycemic control in hospitalized type 2 diabetic patients.
