健康信念模式对老年糖尿病多次住院患者遵医依从性的影响.pdfVIP

蚌埠医学院学报2014年8月第39卷第8期 1123 [文章编号]1000—2200(2014)08—1123-03 ·护理学 · 健康信念模式对老年糖尿病多次住院患者遵医依从性的影响 武 瑛 [摘要]目的：探讨健康信念模式对老年糖尿病多次住院患者遵医依从性的影响。方法：选择86例多次住院老年糖尿病患者， 随机分为观察组和对照组 ，对照组实施常规健康教育，观察组采用健康信念模式进行健康教育。对比2组患者入院时、6个月 后血糖及糖化血红蛋 白的控制情况及遵医依从性和再住院率。结果：2组患者6个月空腹血糖、糖化血红蛋 白及遵医依从性 评分差异均有统计学意义 (P0．01)。观察组患者再住院率为37．2％，低于对照组的60．5％(P0．05)。结论：应用健康信 念模式对老年糖尿病多次住院患者进行健康教育，可提高其遵医依从性 ，增强治疗效果，提高生活质量。 [关键词]糖尿病；健康信念模式；多次住院；遵医依从性 [中国图书资料分类法分类号]R587．1 [文献标志码]A E船ectofhealthbeliefmedicalcompliancebejavopr ofelderlyfrequently·hospitalizeddiabeticpatient W U Ying (DepartmentofEndocrinology，TheMinersHospitalofHuaiBei，HuaibeiAnhui235000，China) [Abstract]0bjective：Toinvestigatetheeffectoftheelderlyfrequently—hospitalizeddiabeticpatientshealthbeliefmodelonmedical compliancebehavior．Methods：Eighty—six elderlyfrequently-hospitalized diabeticpatientswere selectedandrandomlydivided into observationgroupandcontrolgroup．Theobservationgroupwaseducated bythehealthbeliefmodelandcontrolgroupbytheroutine health mode．A comparison of the control of blood glucose and glycosylated hemoglobin，medical compliance behavior and rehospitalizationratebetweentwogroupswasconductedwhenadmissionandafter6months，respectively．Results：Bycomparison，there werestatisticallysignificantinfastingglucose，glycosylatedhemoglobinandmedicalcompliancebehavior(P0．01)betweentwo groupsofpatientsafter6months．Therehospitalizationrateofwas37．2％ andwaslessthan60．5％ ofconrtolrgoup(P0．05)． Conclusions~Health education by using health beliefmodelcarlpromote medical compliancebehaviorofthe elderlyrfequently— hospitalizeddiabeticpatients，enhancethetreatmenteffect，andimprovethelivingqualityofpatients． [Keywords]diabetes；healthbeliefmodel；rfequently—hospitalized；medicalcompliancebehavio