首页|基于全民健康信念模型背景下延续性护理干预对2型糖尿病患者疾病管理能力及血糖控制的改善作用

基于全民健康信念模型背景下延续性护理干预对2型糖尿病患者疾病管理能力及血糖控制的改善作用

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目的 分析基于全民健康信念模型背景下延续性护理干预对2型糖尿病(T2DM)患者的影响.方法 选取2023年1月至2024年1月延边大学附属医院收治的120例T2DM患者,按随机双盲法分为例数均等的两组,各60例.对照组采用常规延续性护理干预,观察组另采用基于全民健康信念模型背景下的延续性护理干预.对比两组患者疾病自我管理能力、血糖控制水平、再次住院率、生活质量等.结果 干预后观察组患者用药依从性[(7.28±0.36)分]高于对照组[(6.21±0.40)分],自我管理能力[(82.43±4.13)分]高于对照组[(75.18±4.20)分],血糖水平低于对照组,差异均有统计学意义(P<0.05).干预后观察组患者生理、社会关系、心理精神、治疗维度评分均低于对照组,差异有统计学意义(P<0.05).两组经6个月随访,未发生糖尿病足、糖尿病肾病、糖尿病酮症及再次入院等情况.结论 基于全民健康信念模型背景下的延续性护理干预可提高T2DM患者的自我管理能力,血糖控制效果好,值得应用.
Improvement of disease management ability and glycaemic control in patients with T2DM by continuity of care interventions based on context of universal health belief model
Objective To understand the impact of a continuity of care intervention on patients with type 2 diabetes mellitus(T2DM)in the context of a universal health belief model.Methods 120 cases of T2DM patients admitted to the hospital from January 2023 to January 2024 were chosen and divided into two groups,60 in each,according to the random double-blind method.The control group used conventional continuity of care intervention,and the observation group additionally used continuity of care intervention based on the context of the universal health belief model.The two groups were compared in terms of disease management ability,glycaemic control level,re-hospitalisation rate and quality of life.Results Post-intervention medication adherence score(7.28±0.36)in the observation group was higher than that of the control group(6.21±0.40),self-management ability score(82.43±4.13)was higher than that of the control group(75.18±4.20),and blood glucose level was significantly lower compared with the control group(P<0.05).The post-intervention diabetes to physical,social relationship,psychological/spiritual and therapeutic dimensions scores of the observation group were lower than those of the control group(P<0.05).No diabetic foot,diabetic nephropathy,diabetic ketoacidosis,or readmission occurred in both groups after 6 months of follow-up.Conclusion The continuity of care intervention based on the context of the universal health belief model can improve the self-management ability of T2DM patients,and the effect of glycaemic control is good and is worth applying.

Universal health belief modelContinuity of care interventionType 2 diabetes mellitus

李旭、付强、周津宇、朱美玲

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吉林省延边大学附属医院(延边医院)康复医学科,吉林延吉 133000

全民健康信念模型 延续性护理干预 2型糖尿病

2024

环境与健康杂志
中华预防医学会,天津市疾病预防控制中心

环境与健康杂志

CSTPCD
影响因子:0.658
ISSN:1001-5914
年,卷(期):2024.41(12)