Abstract: Objective: To explore the effect of health education based on simulative experience on disease cognition and complications in diabetic. Methods: 114 outpatients with diabetes mellitus from Feb. 2013 to Jun. 2016 were selected as study subjects and were randomized into two groups by the random number table method. The control group was given routine health education, while the observation group was given simulative experience. Fasting blood glucose (FPG), postprandial 2h plasma glucose (2hPG), glycosylated hemoglobin (HbA1c), scores of summary of diabetes self-care activities (SDSCA) and incidence rate of complications were compared between the two groups before intervention and at the end of follow-up. Results: There were no significant differences in FPG, 2hPG, HbA1c and SDSCA scores between the two groups before intervention(P>0.05); after intervention, FPG, 2hPG and HbA1c in the observation group were lower than those in the group before intervention and those in control group at the end of follow-up (P<0.05). SDSCA score was higher than that in the group before intervention and that in the control group at the end of follow-up (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05); the total incidence rate of complications in observation group was lower than that in control group. Conclusion: Simulative experience is beneficial to strengthen the patient’s awareness of the disease and feelings to complications, and ultimately strengthen the self-management so as to effectively control the blood glucose level and reduce the risk of complications. It is worthy of popularization and application.

Key words:  Simulative experience, Health education, Diabetes mellitus, Cognition of disease, Risk of complications

摘要： 目的：探讨模拟体验式健康宣教对糖尿病患者疾病认知及并发症风险的影响。方法：选取2013年2月至2016年6月收治的114例糖尿病患者随机分为对照组与观察组，各57例。对照组采取常规健康宣教，观察组采取模拟体验式健康宣教。比较两组干预前及随访结束时的空腹血糖（FPG）、餐后2 h血糖（2hPG）、糖化血红蛋白（HbA1c）、糖尿病自我管理行为量表（SDSCA）评分及并发症发生率。结果：干预后观察组FPG、2hPG、HbA1c低于本组干预前及对照组随访结束时水平（P＜0.05），SDSCA评分高于本组干预前及对照组随访结束时评分（P＜0.05）。两组各种并发症发生率的差异无统计学意义（P＞0.05）；观察组总并发症发生率低于对照组（P＜0.05）。结论：模拟体验式健康宣教利于强化患者对疾病的认知及对并发症的感受，加强患者自我管理从而有效控制血糖水平并降低相关并发症发生风险。

关键词: 模拟体验, 健康宣教, 糖尿病, 疾病认知, 并发症