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目的探讨健康教育对慢性酒精中毒合并糖尿病患者的影响情况。方法 108例慢性酒精中毒合并糖尿病患者,随机分为观察组55例和对照组53例。对照组行常规治疗,观察组在常规治疗的基础上采用健康教育计划,并定期跟踪随访和指导;观察两组患者在自觉减少饮酒、精神状态以及空腹血糖变化方面的改善情况及并发症发生率差异。结果观察组自觉减少饮酒有效率高达87.27%(48/55),精神异常症状异常率为12.73%(7/55),均显著优于对照组的43.40%(23/53)、39.62%(21/53)(P<0.05);观察组的空腹血糖值为(6.72±1.12)mmol/L,显著低于对照组的(8.17±1.24)mmol/L(P<0.05);另外,教育干预后观察组的生活质量综合评分显著高于对照组,而并发症发生则显著低于对照组(P<0.05)。结论通过健康教育减少饮酒,可有效改善患者的精神状态,对降低糖耐量异常和糖尿病发病率具有重要意义,值得在临床上推广。
Objective To investigate the effect of health education on patients with chronic alcoholism and diabetes mellitus. Methods A total of 108 patients with chronic alcoholism and diabetes mellitus were randomly divided into observation group (55 cases) and control group (53 cases). The control group received routine treatment. The observation group received the health education plan based on the routine treatment, and followed up regularly for follow-up and guidance. The patients in the two groups were observed to reduce alcohol consumption, mental status and fasting blood glucose, and the incidence of complications difference. Results The spontaneous alcohol consumption rate in the observation group was 87.27% (48/55), and the abnormal rate of mental abnormalities was 12.73% (7/55), which were significantly better than those in the control group (43.40%, 39.62%, 21 (P <0.05). The fasting blood glucose of the observation group was (6.72 ± 1.12) mmol / L, which was significantly lower than that of the control group (8.17 ± 1.24) mmol / L The comprehensive quality of life score of the observation group was significantly higher than that of the control group, while the incidence of complications was significantly lower than that of the control group (P <0.05). Conclusions Reducing alcohol consumption through health education can effectively improve the mental status of patients and is of great significance in reducing the incidence of impaired glucose tolerance and diabetes mellitus, which is worthy of clinical promotion.