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健康教育對糖尿病住院患者營養知信行的影響
作者:柳鵬  呂凈  王勃詩  
單位:北京大學人民醫院  
關鍵詞:健康教育  糖尿病  知信行  
分類號:R193
出版年,卷(期):頁碼:2011,27(5):366-368
摘要:

目的評估健康教育對糖尿病住院患者營養知識-態度-行為(KAP)水平的影響,為今后在臨床更好開展糖尿病健康教育提供依據。方法將新入院的糖尿病患者分為兩組:青壯年組(年齡小于60歲)和老年組(年齡大于60歲),應用自制問卷進行調查,比較兩組糖尿病患者接受健康教育前后的營養KAP水平。結果無論青壯年組還是老年組,初入院糖尿病住院患者營養KAP水平低,接受健康教育后兩組患者的營養KAP水平均顯著提高,前后對比差異有統計學意義;尤其對"糖尿病患者控制總能量的攝入"、"控制食鹽攝入量"、"少食多餐"以及"食物交換份"等幾項營養知識知曉率提高明顯,兩組糖尿病患者治療飲食執行率也分別由72.2%、67.6%提高到94.4%、81.1%。結論健康教育是改善糖尿病住院患者營養KAP的有效方法,對老年糖尿病患者同樣適用,建議將健康教育作為糖尿病住院患者臨床治療中的一項常規措施

Objective To assess the effects of health education on knowledge,attitude and practice(KAP) among hospitalized patients with diabetes so as to provide evidence for carrying out health education in the clinical in future.Methods The newly hospitalized patients with diabetes were classified into group 1(patients younger than 60 years) or group 2(patients older than 60 years).All patients were investigated by the self-designed questionnaire before and after health education.The KAP levels of nutrition were compared between the two groups.Results After health education,the KAP level of nutrition among hospitalized patients with diabetes was significantly increased in both young and elderly groups.As for "control of total energy","control of salt intake","eat less in more meals" and "food exchange share",knowledge level increased significantly in particular.Therapeutic diet consumption rate of two groups of patients improved from 72.2% and 67.6% to 94.4% and 81.1%,respectively.Conclusion The health education is an effective measure to improve the KAP level of nutrition among hospitalized patients with diabetes,and it is also suitable in elderly patients with diabetes.We propose implemeting health education in hospitalized patients with diabetes as a routine clinical treatment measures.

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