关键词: 糖尿病, 心力衰竭, 老年, 行动体验式, 健康教育, 心理应激

Abstract:  Objective: To explore the effect of mental health education of action-experience model on elderly patients with diabetes mellitus complicated with heart failure and its impact on psychological stress.Methods: A total of 152 elderly patients with diabetes mellitus complicated with heart failure were enrolled in the observation group and the control group according to the random number table (76 cases each).The control group received routine health education, while the observation group took mental health education of action-experienced model for 2 months.The serum fasting blood glucose (FPG), 2 h postprandial blood glucose (PG2h), HbA1c, norepinephrine (NE), epinephrine(E), cortisol(Cor) and self-management efficacywere compared between the two groups of before and after interventions.Results:After 2 months of intervention, FPG, PG2 h and HbA1c in both groups were lower than those before intervention （P<0.05）.FPG, PG2h and HbA1c in the observation group were lower than those in the control group(P<0.05). The score of KAB disease knowledge and behavior in both groups were higher than before intervention, while the score of KAB attitude was lower (P<0.05).The score of KAB disease knowledge and behavior after intervention was higher in the observation group, and score of KABattitude was lower （P<0.05）. After 2 months of intervention, the levels of NE, E and Cr in serum of the two groups were lower than those before intervention, and those in the observation group were lower than those in the control group(P<0.05).Conclusion:Compared with regular health education, action-experience model can effectivelycontrol the blood sugar for elderly patients with diabetes and heart failure, improve patients’ self-management ability, and reduce the psychological stress in the hospital.

Key words: Diabetes, Heart failure, Elderly, Action experience, Health education, Psychological stress