2型糖尿病合并冠心病患者经皮冠脉介入术后的多学科团队指导下健康教育

Health education under the guidance of multidisciplinary team for patients with type 2 diabetes mellitus complicated with coronary heart disease after percutaneous coronary intervention

  • 摘要:
      目的  分析多学科团队指导下健康教育在2型糖尿病(T2DM)合并冠心病患者经皮冠脉介入术(PCI)后护理中的应用价值。
      方法  选择本院行PCI治疗的T2DM合并冠心病患者82例,根据随机数字表法分为对照组与观察组,每组各41例,分别应用常规健康教育及多学科团队指导下健康教育。比较2组干预前后遵医行为、自我效能、对疾病认知程度、血糖控制情况。
      结果  干预前,2组遵医行为各维度评分、自我效能量表评分、疾病认知各维度评分比较差异无统计学意义(P>0.05); 干预6个月, 2组上述量表评分均上升(P < 0.05), 且观察组上升幅度高于对照组(P < 0.05); 干预前, 2组血糖水平比较差异无统计学意义(P>0.05); 干预6个月, 2组整体血糖水平均降低(P < 0.05), 且观察组降低幅度大于对照组(P < 0.05)。
      结论  T2DM合并冠心病患者PCI术后采用多学科团队指导下健康教育可提高患者遵医程度,强化自我效能,提高疾病认知程度,优化血糖控制效果。

     

    Abstract:
      Objective  To analyze value of health education under the guidance of multidisciplinary team for patients with type 2 diabetes mellitus (T2DM) complicated with coronary artery disease after percutaneous coronary intervention (PCI).
      Methods  A total of 82 patients with T2DM and coronary heart disease who underwent PCI were divided into control group and observation group according to the random number table method, with 41 cases in each group, given routine health education or health education under the guidance of multidisciplinary team, respectively. The compliance behaviors, self-efficacy, disease cognition degree and blood glucose control were compared between the two groups after intervention.
      Results  Before intervention, there were no significant differences between the two groups in terms of dimension scores of compliance behaviors, self-efficacy scale and dimension scores of disease cognition (P>0.05), and the scores of above in the two groups were increased after 6 months of intervention (P < 0.05), and the observation group was higher than the control group (P < 0.05). Before intervention, there was no significant difference in blood glucose level between the two groups (P>0.05). After 6 months of intervention, the overall blood glucose levels in the two groups were decreased (P < 0.05), and the observation group was higher than the control group (P < 0.05).
      Conclusion  Health education under the guidance of multidisciplinary team for T2DM patients with coronary heart disease after PCI can improve the compliance degree, strengthen self-efficacy and promote the disease cognition, thus optimizing blood glucose control.

     

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