Nursing effect of health education intervention on female patients with endocrine disorder and diabetes
健康教育干预对女性内分泌失调合并糖尿病患者的护理效果

摘要

目的 探究健康教育干预对女性内分泌失调合并糖尿病患者的护理效果，分析其在改善患者血糖控制、内分泌指标、自我管理能力及生活质量方面的作用。方法 选取2024年5月至2025年5月收治的1000例30-60岁女性内分泌失调合并糖尿病患者，采用随机数字表法分为对照组和实验组，每组各500例。对照组实施常规护理，实验组在常规护理基础上开展系统的健康教育干预。通过检测空腹血糖、餐后2小时血糖、糖化血红蛋白等血糖指标，评估促甲状腺激素、雌二醇等内分泌指标，运用糖尿病自我管理行为量表和生活质量综合评定问卷进行评分，对比两组患者干预前后及组间的各项指标。结果 干预后，实验组患者血糖指标、内分泌指标改善程度显著优于对照组（P<0.05），自我管理行为量表得分和生活质量综合评定问卷得分均高于对照组（P<0.05）。结论 健康教育干预能有效提高女性内分泌失调合并糖尿病患者的血糖控制水平，改善内分泌状况，增强自我管理能力，提升生活质量，具有重要的临床应用价值。

Abstract

Objective To explore the nursing effect of health education intervention on female patients with endocrine disorder and diabetes, and analyze its role in improving patients' blood sugar control, endocrine indicators, self-management ability and quality of life.
Methods 1000 female patients with endocrine disorders and diabetes aged 30-60 years who were admitted from May 2024 to May 2025 were randomly divided into control group and experimental group with 500 cases in each group. The control group received routine nursing care, while the experimental group received systematic health education intervention on the basis of routine nursing care. The fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin and other blood glucose indicators were detected, thyroid stimulating hormone, estradiol and other endocrine indicators were evaluated, and diabetes self-management behavior scale and comprehensive quality of life assessment questionnaire were used to score, and the indicators before and after the intervention and between the two groups were compared.
Results After intervention, the improvement of blood glucose and endocrine indicators in the experimental group was significantly better than that in the control group (P<0.05), and the scores of the self-management behavior scale and the comprehensive quality of life assessment questionnaire were higher than those in the control group (P<0.05).
Conclusion   Health education intervention can effectively improve the level of blood glucose control in female patients with endocrine disorders and diabetes, improve the endocrine status, enhance self-management ability, and improve the quality of life, which has important clinical application value.