Effect Of Health Education Based On Group Game Therapy On Elderly Patients With Diabetes Mellitus

Objectives:This study constructs a Health education intervention program for elderly diabetes patients based on group play therapy through literature review,expert consultation,pilot study and individual in-depth interviews with the study subjects.Through the application of intervention for elderly diabetes patients health education,to improve the blood sugar in elderly diabetes patients,self management knowledge,attitude,behavior and quality of life effect,preliminary evaluation program feasibility in nursing practice,for the application of group game therapy in the field of diabetes health education and provide reference.Methods:1.Literature review: reviewed literature,analyzed and summarized the main factors influencing the effect of health education for elderly patients with diabetes mellitus,so as to provide a basis for the construction of the scheme.2.Structuring the intervention program:Based on group dynamics,literature review,retrieve the relevant research and guidelines of group game therapy,preliminarily formulate the first draft of Health Education Intervention Program for Elderly Diabetes Patients Based on Group Game Therapy;demonstrate the applicability and scientific nature of the specific content of the intervention program by expert consultation method,form the revised draft of Health Education Intervention Program for Elderly Diabetes Patients Based on Group Game Therapy;and form the final draft of Health Education Intervention Program for Elderly Diabetes Patients Based on Group Game Therapy through pilot study and personal in-depth interviews with the research subjects.3.Intervention program implementation and evaluation: using quasi-experimental study design,according to the standard,75 elderly diabetic patients randomly divided into control group(n=35)and intervention group(n=40),control group community routine diabetes health education,intervention group for 3 months based on group game therapy health education,participation in 8 times or more into the data analysis,finally collected 60 effective statistical data(30 intervention group,30 control group).Fasting blood glucose,postprandial blood glucose and hemoglobin A1 C before and after the intervention,diabetes self-management knowledge,attitude and the behavior score and quality of life score;the satisfaction of the intervention group was evaluated after the intervention.Descriptive analysis,chi-square test,two independent sample t-test,non-parametric Mann-Whitney U rank-sum test,paired sample t-test and Wilcoxon signed-rank test were performed using SPSS 26.0.P <0.05 was considered to be statistically significant.Results:1.Through the literature review,the expert consultation,pilot study and the research object personal in-depth interview,builds the group game therapy based elderly diabetes patients health education intervention program,intervention program covers 12 modules,including: ice action,know diabetes,diet is the foundation I,II,exercise is means I,II,detection is guarantee,drug is a weapon,timely prevent complications,special circumstances,psychological adjustment,happy life,review to share.Each module designs group games that fit with the education content on the basis of health education.2.A quasi-experimental study verified the effect of the intervention program,and the results of the quasi-experimental study showed that:(1)Comparison of baseline information of elderly diabetic patients: there were no statistically significant differences in general demographic characteristics,fasting glucose,post-prandial glucose,hemoglobin A1 C,self-management knowledge,attitude,and behavior,quality of life,and depression scores between the two study groups before the intervention(P>0.05).(2)Blood glucose control in elderly diabetic patients:(1)Comparison between groups: After the intervention,there were no statistically significant differences in fasting blood glucose,post-prandial glucose,and hemoglobin A1 C scores between the intervention and control groups(P > 0.05).(2)Comparison within groups: the hemoglobin A1 C score in the intervention group was lower than that before the intervention,and the difference was statistically significant(P < 0.05),while the fasting blood glucose score and post-prandial blood glucose score of the intervention group was not statistically significant before and after the intervention(P > 0.05);there were no significant differences in fasting blood glucose,post-prandial blood glucose,and hemoglobin A1 C scores in the control group before and after the intervention(P>0.05).(3)Self-management knowledge,attitude,and behavior scores of elderly diabetic patients:(1)Comparison between groups: After the intervention,the total scores of knowledge,attitude,and behavior of diabetes self-management in the intervention group were significantly higher than those in the control group,with statistical significance(P < 0.05);(2)Comparison within groups: After the intervention,the scores of diabetes self-management knowledge,attitude,and behavior scale in the intervention group were improved compared with those before the intervention,which were at a poor level before intervention and at a medium level after the intervention,and the differences were statistically significant(P < 0.05);the scores of diabetes self-management knowledge,attitude,and the behavior scale in the control group after intervention were improved compared with those before the intervention,all at a poor level,and the differences were statistically significant(P<0.05).(4)Quality of life scores of elderly diabetic patients:(1)Comparison between groups: the difference in quality of life scores between the intervention group and the control group was not statistically significant(P > 0.05),but the psychological /spiritual dimensions and social relationship dimensions between the two groups(P<0.05);(2): the intervention group decreased,the total score and the dimensions were statistically significant(P<0.05);the total quality of life and scores of the control group was not statistically significant(P>0.05).(5)Satisfaction score of the intervention group participating in intervention activities: The satisfaction scale evaluates satisfaction in four aspects: the content arrangement of intervention activities,the form of intervention activities,the intervention personnel,and the activity harvest.The satisfaction score of this training was 45(43,50),and 82.5% were delighted with it(40 < X < 50).Conclusions:1.The health education intervention program based on group game therapy based on literature review,expert consultation,pilot study and individual in-depth interview of research subjects is interesting,age-appropriate,scientific and feasible.2.The intervention program was initially verified in the clinical trial,and achieved certain results.The constructed Health Education Intervention Program based on Group Game Therapy was used to provide health guidance to elderly diabetes patients,which improved the knowledge,attitude and behavior level of elderly diabetes patients,and had certain effects on improving the psychological and social relationship dimensions in the quality of life.Moreover,the implementation of this project achieved high satisfaction,providing new intervention ideas for health education of elderly patients with diabetes.