Intervention Research Of Diabetes Conversation Map In The Health Education Of Uyghur Elderly Type2Diabetic Patients

Objective:To understand the level of Uyghur elderly type2diabetic patients’ knowledge about diabetes, self-management and disease control situation, investigate the intervention effects of diabetes conversation map health education and identify a suitable health education method for Uyghur elderly type2diabetic patients. Methods:Select115Uyghur elderly type2diabetic patients who met the inclusion criteria in the Endocrinology outpatient clinic of the First Affiliated Hospital of Xinjiang Medical University, according to the random number table, the patients were divided as intervention group58cases using diabetes conversation map health education and control group57cases using traditional health education.6months of pre-intervention and post-intervention measured the level of diabetes knowledge and self-management using diabetes knowledge test and self-management measurement scale, measured and calculated patients’ physiological indicators as height, weight, body mass index (BMI), waist circumference, hip circumference, waist-hip rate (WHR), blood pressure and measured Biochemical indicators as fasting plasma glucose, two-hour plasma glucose, glycosylated hemoglobin. Results:①Baseline Survey Results:The differences of two groups’demographic data, disease state data, diet, diabetes knowledge test scores diabetes self-management assessment scale scores, patient physiological and biochemical indicators the differences were statistically significant (P>0.05).115patients’ level of diabetes knowledge, self-management, glycemic control are generally poor, waist-hip rate, body mass index exceeded.②Comparison results of the two groups of patients before and after Intervention:after the intervention, intervention group patients’ physiological and biochemical indicators as level of the diabetes knowledge, self- management, apart from the diastolic blood pressure, hip circumference and waist-hip rate (WHR) were statistically significant (P<0.05). After the intervention, control group Patients’ level of knowledge and self-management of diabetes has a different degree level, systolic blood pressure, weight, body mass index (BMI), waist circumference, two-hour plasma glucose and other differences were statistically significant (P<0.05), diastolic pressure, hip circumference, waist-hip rate (WHR), fasting plasma glucose, glycosylated hemoglobin were not significantly different (P>0.05).③Comparison results between the two groups patients after the intervention:after the implementation of health education, in the intervention group patients’ levels of diabetes knowledge, self-management, physiological and biochemical indicators were better than the control group (P<0.05), in which the diastolic blood pressure, waist circumference, hip circumference, waist-hip rate (WHR) differences showed no significant differences (P>0.05). Conclusions:①The level of diabetes knowledge and self-management of uyghur elderly type2diabetic patients is poor, disease control situation is poor.②Two health education methods increased the level of diabetes knowledge and self-management, improved the patient systolic blood pressure, body mass index (BMI) and blood glucose control,③The effect of diabetes conversation map health education group was significantly better than the traditional patient health education group.It indicates that diabetes conversation map health education is more suitable to apply for uygur elderly type2diabetic patients. It increased the level of diabetes knowledge and self-management, improved the disease control situation and the quality of life.