首页|门诊糖尿病患者应用CAPDCA个体化健康教育模式的效果评估

门诊糖尿病患者应用CAPDCA个体化健康教育模式的效果评估

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目的 评估门诊糖尿病患者应用CAPDCA个体化健康教育模式的效果.方法 采用平行对照临床试验研究法,从北京市朝阳区三家社区卫生服务中心及下属的社区卫生服务站中随机抽取3个站点设为干预组,另抽取3个站点设为对照组,按照纳排标准,每个站点纳入糖尿病患者30名,共计180名(随访过程中对照组2名受试者因搬离本辖区而脱落).对照组采取传统的门诊健康教育模式,干预组采取CAPDCA个体化健康教育模式.随访1.5年,比较两种不同健康教育模式下患者的血糖控制情况、糖尿病患者健康知识评分、用药依从性、满意度等指标,评价门诊糖尿病患者应用CAPDCA个体化健康教育模式的效果.结果 干预组糖化血红蛋白改善值明显优于对照组(P<0.05);干预组空腹血糖改善情况相比于对照组提高了33.7%(OR=0.663,95%CI为0.468~0.938,P=0.02);干预组餐后2h血糖改善情况相比于对照组提高了79.2%(OR=0.218,95%CI为0.138~0.345,P<0.01);试验结束时干预组和对照组在用药依从性(F=44.677,P<0.05)、糖尿病患者健康知识评分和满意度方面的差异有统计学意义(P<0.05).结论 相较于传统的健康教育模式,CAPDCA糖尿病个体化健康教育模式展现出了显著的优势.该模式不仅能够有效降低糖尿病患者的血糖水平,并促进其达到理想范围,同时能够显著提升患者的用药依从性,提高他们对糖尿病健康知识的认知程度,并进一步提升了患者的满意度.推广和应用CAPDCA糖尿病个体化健康教育模式,不仅有助于糖尿病健康教育的规范化发展,而且能够显著提高糖尿病患者的自我管理能力,为患者带来更为全面的健康保障.
Application and Effect Assessment of the CAPDCA Personalized Health Education Model for Outpatient Diabetes Patients
Objective To investigate the effectiveness of the CAPDCA personalized health education model in managing outpatient diabetes patients.Methods A parallel controlled clinical trial was implemented,involving three community health service centers in Chaoyang District,Beijing,with three stations assigned to each of the intervention and control groups.Thirty diabetes patients were enrolled from each station,totaling 180 participants(two from the control group were lost to follow-up due to relocation).The control group received traditional outpatient health education,whereas the intervention group was subjected to the CAPDCA personalized health education model.Following a 1.5-year follow-up period,both groups were assessed for glycemic control,diabetes health knowledge,medication adherence,and patient satisfaction.Results The intervention group demonstrated significantly better improvements in glycated hemoglobin levels than the control group(P<0.05).Improvements in fasting blood glucose in the intervention group exceeded those in the control group by 33.7%(OR=0.663,95%CI 0.468~0.938,P=0.02),postprandial 2-hour blood glucose in the intervention group exceeded those in the control group by 79.2%(OR=0.218,95%CI 0.138~0.345,P<0.01).At the end of the trial,significant statistical differences were evident between the groups in terms of medication adherence,knowledge scores,and satisfaction(P<0.05).Conclusion The CAPDCA personalized health education model outperforms traditional models in managing diabetes.It not only effectively lowers blood glucose levels,helping patients achieve their target ranges but also significantly improves medication adherence,enhances understanding of diabetes management,and increases patient satisfaction.The adoption of the CAPDCA model can facilitate the standardized development of diabetes health education and notably enhance diabetic patient self-management,offering broader health protection.

Health educationPersonalizationDiabetesChronic disease management

邢薇、李杰、王淑娟、刘玉江、李娜

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北京市朝阳区高碑店社区卫生服务中心 全科,北京 100024

首都医科大学附属北京友谊医院 老年医学科,北京 100050

健康教育 个体化 糖尿病 慢性病管理

首都卫生发展科研专项

首发2020-4-7031

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(12)
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