Abstract
Objective To investigate the health education effect of self-efficacy intervention on schizophrenia patients with diabetes mellitus.Methods Sixty patients were divided according to their hospitalized order,with odd number for the experimental group (n =30) and even number for the control group (n =30).The experimental group received self-efficacy intervention for 10 weeks in addition to drug treatment,while the control group received general preaching health education pattern and conventional nursing method,and each patient was provided with a health education handbook including knowledge about schizophrenia and diabetes,and diabetes monitoring record sheet.Self-designed health knowledge questionnaire and social function flaw screening meter (SDSS) was used to evaluate patients ' cognition about diabetes and social function improvement.Automatic biochemistry analyzer was also used to monitor the control condition of patients' fasting blood-glucose (FPG) and 2-hour postprandial blood-glucose (2 hPG).Results Ten weeks later,patients' knowledge about the cause of disease,drug compliance,notice in drug-taking,complication management,self examination,diet calculation and comprehensive management ability was higher in the experimental group than that in the control group,and the difference was statistically significant (t =2.810,3.843,3.617,2.841,2.741,4.281,3.867,respectively; P ＜ 0.05).Factors in SDSS including social withdrawal,ward activity,personal care,interests in outer world,responsibility and tradition of planning were all lower in the experimental group than those in the control group,and the differences were statistically significant (t =3.640,2.802,2.953,3.241,2.915,respectively ;P ＜ 0.05).The FPG and 2 hPG were also lower in the experimental group than those in the control group,and the differences were statistically significant (t =3.74,3.57,respectively ; P ＜ 0.01).Conclusions Health education based on self-efficacy intervention can improve the symptoms and saccharometabolism of schizophrenia patients with diabetes,thus to further improve patients' social function and quality of life. Key words: Schizophrenia; Diabetes mellitus ; Health education; Self-efficacy intervention
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