【摘要】：目的:1.評(píng)價(jià)糖尿病健康教育干預(yù)對(duì)農(nóng)村地區(qū)糖尿病患者糖尿病知識(shí)水平的影響。2.比較糖尿病健康教育前后農(nóng)村地區(qū)糖尿病患者糖尿病相關(guān)知識(shí)來(lái)源的變化情況。3.評(píng)價(jià)糖尿病健康教育干預(yù)實(shí)施后,農(nóng)村地區(qū)糖尿病患者BMI、糖化血紅蛋白、血壓、甘油三酯、高密度脂蛋白、低密度脂蛋白、血脂達(dá)標(biāo)率差異達(dá)標(biāo)率的影響。為今后制定農(nóng)村地區(qū)糖尿病防治策略提供依據(jù)。方法:應(yīng)用問(wèn)卷調(diào)查的方式對(duì)青島市農(nóng)村居民進(jìn)行糖尿病知識(shí)掌握情況進(jìn)行調(diào)查,并對(duì)他們進(jìn)行為期3年的健康教育干預(yù),3年后進(jìn)行隨訪。結(jié)果:干預(yù)前受試對(duì)象糖尿病知識(shí)知曉率為16.64%,干預(yù)后為84.37%,干預(yù)后顯著高于干預(yù)前(P0.05);干預(yù)后農(nóng)村居民對(duì)肥胖與健康間的關(guān)系等2型糖尿病知識(shí)掌握情況提高,與干預(yù)前比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05);干預(yù)后調(diào)查對(duì)象通過(guò)各種途徑得到2型糖尿病相關(guān)知識(shí)的人數(shù)和比例較干預(yù)前均有上升,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。干預(yù)后2型糖尿病危險(xiǎn)因素的知曉率高于干預(yù)前(P0.05),但干預(yù)前后均較低;酗酒是干預(yù)前后知曉率最低的危險(xiǎn)因素,分別占干預(yù)前后的2.08%和4.61%。干預(yù)后調(diào)查對(duì)象的BMI、糖化血紅蛋白、血壓、甘油三酯、低密度脂蛋白、高密度脂蛋白、血脂達(dá)標(biāo)率差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:通過(guò)在農(nóng)村地區(qū)實(shí)施健康生活干預(yù),可以有效提高農(nóng)村地區(qū)糖尿病患者糖尿病知識(shí)知曉率水平。應(yīng)加強(qiáng)電視節(jié)目、病友交流會(huì)、社區(qū)醫(yī)生宣傳三個(gè)渠道的宣傳教育。應(yīng)加強(qiáng)糖尿病相關(guān)危險(xiǎn)因素的相關(guān)知識(shí)、改變生活方式對(duì)糖尿病病情改善的有效性宣傳,調(diào)整干預(yù)措施,鼓勵(lì)糖尿病患者將對(duì)糖尿病知識(shí)的掌握運(yùn)用到對(duì)自身生活方式的改變上來(lái)。
[Abstract]:Purpose 1. To evaluate the effect of diabetes health education intervention on diabetes knowledge level of diabetic patients in rural areas. 2. 2. To compare the changes of diabetes related knowledge sources in rural area before and after diabetes health education. Objective: to evaluate the effect of diabetes health education intervention on BMI, glycosylated hemoglobin, blood pressure, triglyceride, high density lipoprotein (HDL), low density lipoprotein (LDL) and blood lipids in rural diabetes patients. To provide the basis for the future development of diabetes prevention and treatment strategy in rural areas. Methods: a questionnaire survey was conducted to investigate the knowledge of diabetes mellitus in rural residents of Qingdao, and to carry out health education intervention for 3 years, followed up 3 years later. Results: the awareness rate of diabetes knowledge before intervention was 16.64, and after intervention was 84.37, which was significantly higher than that before intervention (P0.05). The difference was statistically significant (P0.05); the number and proportion of subjects who obtained type 2 diabetes related knowledge through various ways were higher than that before intervention (P0.05). After intervention, the awareness rate of risk factors of type 2 diabetes was higher than that before intervention (P0.05), but lower before and after intervention, and alcoholism was the lowest risk factor before and after intervention, accounting for 2.08% and 4.61% of the risk factors before and after intervention, respectively. The BMI, glycosylated hemoglobin, blood pressure, triglyceride, low density lipoprotein, high density lipoprotein, blood lipids had no significant difference after intervention (P0.05). Conclusion: the level of knowledge about diabetes mellitus in rural areas can be improved effectively by the intervention of healthy living in rural areas. TV programs, patient meetings and community doctors should be strengthened in three channels of publicity and education. We should strengthen the knowledge of the risk factors related to diabetes mellitus, improve the effectiveness of diabetes disease improvement by changing lifestyle, and adjust the intervention measures. People with diabetes are encouraged to apply their knowledge of diabetes to changes in their lifestyle.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R587.1;R193

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