Abstract:

Objective　To explore the effect of community-led nurse-teacher cooperation model on the knowledge awareness of diabetes mellitus in primary school students. Methods　A total of 131 students from grade 5-6 in a primary school in Haizhu District from January to December 2022 were selected as the research objects, including 74 boys and 57 girls, aged 9-13 years. An experimental study was carried out on the students with the health education model of community-led nurse-teacher cooperation model. The changes of students' knowledge level and self-behavior awareness before and after intervention were evaluated by self-made questionnaire. Paired t test and χ² test were used to analyze the data. Results　The Cronbach's alpha of the self-made questionnaire used in this study was 0.799, and the KMO coefficient of Bartlett sphericity test was 0.79. The knowledge requirement rate of diabetes mellitus in children was 61.07% (80/131) before intervention and 82.44% (108/131) after intervention; the awareness rate of diabetes type was 26.72% (35/131) before intervention and 82.44% (108/131) after intervention; the awareness rate of typical symptoms of diabetes mellitus was 57.25% (75/131) before intervention and 66.41% (87/131) after intervention; the nervous fear rate for diabetes mellitus was 38.93% (51/131) before intervention and 26.72% (35/131) after intervention; the awareness rate of peer hypoglycemia treatment was 26.72% (35/131) before intervention and 54.20% (71/131) after intervention; the awareness rate of dietary precautions for diabetes mellitus was 67.18% (88/131) before intervention and 76.34% (100/131) after intervention; the awareness rate of exercise precautions was 51.91% (68/131) before intervention and 63.36% (83/131) after intervention; the awareness rate of treatment methods was 22.90% (30/131) before intervention and 78.63% (103/131) after intervention; the change rate of dietary habits was 38.17% (50/131) before intervention and 87.02% (114/131) after intervention. The score of basic mastery degree of diabetes mellitus-related knowledge was (7.44±0.24) points before intervention and (8.13±0.51) points after intervention, the score of partial mastery degree was (6.17±0.44) points before intervention and (6.36±0.32) points after intervention, and the score of non-mastery was (3.81±0.22) points before intervention and (4.71±0.23) points after intervention. After intervention, all indexes were improved compared with those before intervention, with statistically significant differences (all P<0.05). Conclusion　The community-led nurse-teacher cooperation model can effectively improve the awareness of diabetes mellitus related knowledge in primary school students, which is worthy of clinical application.

Key words:

Diabetes mellitus, Awareness, Primary school students, Community-led nurse-teacher cooperation model

摘要：

目的　探究卫教联手-社区主导模式对提高小学生糖尿病知识认知度的影响。方法　选取2022年1月至12月海珠区内某小学的5～6年级在校学生共131名作为研究对象，其中男性74人，女性57人，年龄9～13岁；采用卫教联手-社区主导模式开展健康教育对学生进行试验研究，通过自制问卷评估干预前后学生掌握糖尿病相关知识程度和自我行为意识的改变。采用配对t检验、χ²检验。结果　本研究采用的自制问卷克隆巴赫系数为0.799，巴特利特球形检验的KMO系数为0.79。儿童糖尿病知识需求率干预前为61.07%（80/131），干预后为82.44%（108/131）；糖尿病类型知晓率干预前为26.72%（35/131），干预后为82.44%（108/131）；典型症状知晓率干预前为57.25%（75/131），干预后为66.41%（87/131）；得糖尿病紧张害怕率干预前为38.93%（51/131），干预后为26.72%（35/131）；同伴低血糖处理方法知晓率干预前为26.72%（35/131），干预后为54.20%（71/131）；糖尿病的饮食注意事项知晓率干预前为67.18%（88/131），干预后为76.34%（100/131）；运动注意事项知晓率干预前为51.91%（68/131），干预后为63.36%（83/131）；治疗方法知晓率干预前为22.90%（30/131），干预后为78.63%（103/131）；饮食习惯改变率干预前为38.17%（50/131），干预后为87.02%（114/131）。糖尿病相关知识基本掌握度在干预前为（7.44±0.24）分，干预后为（8.13±0.51）分；部分掌握度在干预前为（6.17±0.44）分，干预后为（6.36±0.32）分；未掌握度干预前为（3.81±0.22）分，干预后为（4.71±0.23）分。干预后各项指标均较干预前有提升，差异均有统计学意义（均P<0.05）。结论　卫教联手-社区主导模式可有效提高小学生糖尿病知识认知度，值得临床推广应用。

关键词:

糖尿病, 认知度, 小学生, 卫教联手-社区主导模式