A Study On The Effect Of Health Education Among Community Uygur Residents With Diabetes Mellitus In Urumqi

Objective:To understand the effect of health education among community population with Uygur diabetes mellitus in Urumqi and provide related evidence for improving therapeutic effect of the diabetes mellitus in order to accumulate information for diabetes prevention and treatment work of Xinjiang community in future.Methods:Randomly divided 80 didn't received health education diabetics were into the intervention group and the comparison group (internal control), and select the homogeneous didn't received health education of 40 patients, as the control group (outside the control). the intervention group according to individual difference combining various forms of health education methods, there wasn't any special intervention to the comparison group, continuously observation for 12 months. Chinese versions of the Diabetes relevant knowledge, lifestyle questionnaire were used to assess the level of diabetes knowledge and self-management skills. SF-36 life quality scale, social support scale, family function scale evaluate life quality, social support and family functions; the changes of metabolic control and medical expenditure were assessed after 12months.Results:â‘ Baseline survey results:three groups of patients with diabetes mellitus the generally, diabetes awareness, the change in the life style, diet, exercise, score on quality of life, social support score, family functions score, physical examination, blood test results, diabetes related expenses and TCM symptoms there were no statistically significant difference(P>0.05).â‘¡Before and after the comparison results:The control group (internal control group and outside control group) patients with diabetes the generally, diabetes awareness, the change in the life style, diet, exercise, score on quality of life, social support score, family functions score, physical examination, blood test results, diabetes related expenses and TCM symptoms after the Intervention there were no statistically significant difference than before intervention (P>0.05).The Intervention group patients with diabetes awareness,the change in the life style, diet,exercise after the intervention improved obviously than before intervention (P<0.05). The score on quality of life, social support score,family functions score of the intervention group after the intervention were significantly higher than the before Intervention(P<0.05). The health-care cost was significantly decreased and lab fee increased than the before intervention (P<0.05). TCM disease symptom was obviously improved than the before intervention (P<0.05). BMI, SBP,fasting blood glucose, postprandial 2h glucose,Glycated hemoglobin,urine trace protein and TC after the intervention obviously declined than the before Intervention(P<0.05); WHR, DBP and TG, HDL-C and LDL-C no significant difference before intervention (P>0.05).â‘¢groups of contrast results:The control group (internal control group and outside control group) patients with diabetes after the Intervention the generally, diabetes awareness, the change in the life style, diet, exercise, score on quality of life, social support score, family functions score, physical examination, blood test results, diabetes related expenses and TCM symptoms there were no statistically significant difference (P>0.05). The Intervention group patients with diabetes awareness, the change in the life style, diet, exercise after the intervention improved obviously than control group (internal control group and outside control group) patients(P<0.05).score on quality of life, family functioning score obviously improved than the control group (internal control group and outside control group) patients (P<0.05); social support score with subjectiv support,support exploitation degree,support total score obviously improved than control group(internal control group and outside control group) patients (P<0.05). Objective support scores no significant difference than control group (internal control group and outside control group) patients. The health-care cost was significantly decreased and lab fee increased than control group (internal control group and outside control group) patients (P<0.05). Improving TCM symptoms in patients with diabetes was better than control group (internal control group and outside control group) patients (P<0.05). BMI, fasting blood glucose, postprandial 2h glucose,glycated hemoglobin, and TC obviosly declined than control group(internal control group and outside control group) patients (P<0.05). SBP and DBP, WHR, urine trace high protein, TG, HDL-C and LDL-C no significant difference than control group (internal control group and outside control group) patients (P>0.05).Conclusion:The health education measurement can improve therapy behavior,health education intervention way can imProve of diabetes knowledge, self-management skills and blood glucose grade, the whole cost of health care during Program is no changed while the drug fee decreased and lab fee increased,which are of vital importance in preventing diabetes mellitus and its chronic complication and improving quality of life.