聚焦解决模式在住院老2型糖尿病患者健康教育中的应用.docVIP

精品论文 参考文献 聚焦解决模式在住院老2型糖尿病患者健康教育中的应用 陈洁 徐晓敏（上海市普陀区人民医院呼吸内科 200060） 【中图分类号】R587.1【文献标识码】A【文章编号】1672-5085（2012）7-0449-02 【摘要】目的 探讨聚焦解决模式在住院老年2型糖尿病（T2DM）患者健康教育中的应用及效果。方法 将100例住院老年2型糖尿病患者随机分为观察组和对照组各50例。对照组进行常规模式健康教育，观察组用聚焦解决模式5步骤进行健康教育。评价健康教育前后两组患者的糖尿病知识知晓率及病情发展程度。结果 观察组对疾病知识知晓率明显优于对照组(Plt;0.05)，病情发展进程低于对照组(Plt;0.05)。结论 聚焦解决模式可显著提高住院老年2型糖尿病患者健康教育效果，有效控制病情发展进程，提高患者生活质量。 【关键词】 2型糖尿病 聚焦解决模式 健康教育 积极心理学 【Abstrace】Objective To detect the application and effect of solution focused approach for hospitalized bedridden elderly patients with type 2 diabetes （T2DM）. Methods 100 middle-aged patients with T2DM were randomly divided into observation group and control group, with 50 cases in each. The patients in the control group were subjected to conventional pattern of health education while their conpamion in the observation group were subjected to health education according to the 5 steps of the solution focused approach. Before and after education, patientsrsquo;knowledge about T2DM and the degree of the sick in both groups were appraisuled. Results The knowledge about T2DM were learned better by control group than the observation group and the degree of sick in control group were lower than in the observation group (Plt;0.05both). Conclusion The solution focused approach is not only have great effect in health education that hospitalized bedridden elderly patients with T2DM but also in control the advancement of the T2DM and patientsrsquo; quality of life is improved. 【Key wores】 type 2 diabetes mellitus（T2DM） health education solution focused approach positive psychology 2型糖尿病是一种较为常见的慢性疾病，其数量在全球呈迅速增强的趋势[1]，我国已是世界上仅次于印度的糖尿病第二大国，据WHO估计，全球现有大约1.75亿糖尿病患者，到2025年将突破3亿，中国糖尿病患病率在急剧增高，从20世纪80年代到90年代中期增加了4～5倍，估计现已有糖尿病患者三四千万[2]。我国糖尿病患者对糖尿病基本知识、检查治疗及自我护理知识普遍缺乏了解，有47.9%的新诊断糖尿病患者从未接受过糖尿病教育；曾接受过糖尿病教育者占60.3%[3]。1996年国际糖尿病联盟已将糖尿病教育列为糖尿病５项基本治疗措施之一[4]。研究表明: 实施糖尿病健康教育,不仅可很好地控制血糖,减少或延缓并发症的发生和发展,而且可减少医疗费用[3]；它能极大地调动病人的主观能动性[3]。聚焦解决模式(Solution Focused Approach)是由Steve de　Sha