HIỆU QUẢ CAN THIỆP CẢI THIỆN THỰC HÀNH DINH DƯỠNG VÀ TUÂN THỦ SỬ DỤNG THUỐC ĐIỀU TRỊ CỦA BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TUÝP 2 NGOẠI TRÚ TẠI BỆNH VIỆN ĐA KHOA NÔNG NGHỆP

Abstract

Objective: Evaluation of the effectiveness of interventions to improve nutrition practices and adherence to medication use in patients with type 2 diabetes, outpatients at Agricultural General Hospital (2016-2017). Methods: Horizontal cut representation; Direct health education interventions through the hospital's anti-diabetic education club activities to improve knowledge and practice on nutrition, physical exercise, adherence to medication in treatment Treatment and control of blood sugar, periodical medical examination for patients. Assessment of nutrition practice and adherence to medication use of intervention subjects by questionnaire combined with analysis of secondary data in patient's medical records; calculate efficiency index. Results: The effectiveness of improving the use of regular daily foods in a good direction for people with diabetes such as: eating a meal of rice equivalent to 45-65g of starch has increased from 58.9% to 74.1% (p< 0.001). Eating green vegetables ≥ 5 standard units/day increased from 25.0% to 76.4% (efficiency index reached =205.6%). Eating ripe fruit from ≥ 2 hours after main meal increased from 41.2% to 80.2% (CSHQ=94.7%). Eating meat decreased, but eating foods 3-4 times a week such as fish, seafood, tofu, beans/beans, peanuts/sesame beneficial for people with diabetes all increased after the intervention. Adherence to using medication has improved significantly, from 84.6% to 98% (efficiency index reached =15.8%). Conclusion: The effectiveness of improving the use of good foods for people with diabetes increased significantly after the intervention; foods that are not good for people with diabetes have decreased significantly. The effectiveness of medication adherence in treatment was significantly improved (CSHQ=15.8 %).