陈兰 李萍 王莹

    [摘要] 目的 探索以家庭為中心的健康教育对2型糖尿病患者家庭功能及自我效能的影响。 方法 选择2014年1～12月在上海交通大学附属第一人民医院住院的2型糖尿病患者80例为研究对象，按随机数字表法分为实验组和对照组，各40例。对照组给予常规糖尿病健康教育方式，实验组同时对患者及其直接照顾者进行以家庭为中心的健康教育，比较两组糖尿病知识水平、家庭功能、自我效能及糖化血红蛋白水平。 结果 两组干预后及干预前后的糖尿病知识评分、糖化血红蛋白水平比较，差异有统计学意义(P 0.05)，其余方面的自我效能评分比较差异有统计学意义(P < 0.05)。 结论 以家庭为中心的健康教育能显著提高2型糖尿病患者家庭功能以及自我效能，有利于改善患者血糖控制水平。

    [关键词] 以家庭为中心的健康教育；糖尿病；家庭功能；自我效能

    [中图分类号] R587.1 [文献标识码] A [文章编号] 1673-7210(2017)05(c)-0068-04

    [Abstract] Objective To explore the effect of family centered health education on family function and self-efficacy for patients with type 2 diabetes mellitus. Methods 80 cases with type 2 diabetes mellitus admitted to the First People's Hospital Affiliated to Shanghai Jiaotong University during January to December 2014 were divided into experimental group and control group， 40 cases in each group. The patients in control group were received routine diabetic health education， and the patients and their direct caregivers in experimental group were received family centered health education. Diabetes knowledge level， family function， self-efficacy and glycosylated hemoglobin levels between two groups were compared. Results After intervention ......