ADOPT联合自我管理教育与支持干预对学龄期1型糖尿病患儿血糖管理的影响
Effects of ADOPT model combined with Diabetes Self-Management Education and Support program on glycemic management in school-aged children diagnosed with type 1 diabetes
张安琪 1刘瑞云 2李颖 3戴靖华 4王俊秀 5牛文萍 5严慧娜 6王佳讯1
作者信息
- 1. 山西医科大学 护理学院(山西 太原,030001)
- 2. 山西医科大学附属儿童医院 护理部
- 3. 山西医科大学附属儿童医院 儿童重症医学科
- 4. 山西省人民医院
- 5. 山西医科大学附属儿童医院 儿童内分泌科
- 6. 山西医科大学 医学科学院(山西 太原,030001)
- 折叠
摘要
目的 探讨提高学龄期1型糖尿病患儿血糖控制水平、自我管理能力及生活质量的有效方法.方法 将90例学龄期1型糖尿病患儿按照入院时间分为对照组与干预组各45例.对照组实施常规健康教育,干预组在此基础上实施ADOPT(态度Attitude、定义Definition、开放性思维Open mind、计划Planning、实施Trying)模式联合自我管理教育与支持干预.比较干预前,出院后1个月、3个月两组血糖水平及自我管理能力、生活质量.结果 对照组44例、干预组42例完成研究.干预组患儿空腹血糖、餐后2 h血糖、自我管理能力及生活质量(除学校表现外)评分在时间效应、组间效应和交互效应上有统计学意义(均P＜0.05).出院后3个月干预组糖化血红蛋白显著低于对照组(P＜0.05).结论 ADOPT模式联合自我管理教育与支持干预可改善患儿血糖控制水平,提高患儿自我管理能力及生活质量.
Abstract
Objective To explore effective methods to improve the level of glycemic control,self-management ability and quality of life of school-age children with type 1 diabetes.Methods A total of 90 school-aged children with type 1 diabetes were divided into 45 cases each in a control group and an intervention group according to admission time.The control group was given routine health education,while the intervention group was additionally given the ADOPT(Attitude,Definition,Open mind,Planning,Trying)model combined with Diabetes Self-management Education and Support(DSMES)program.The blood glucose level,self-manage-ment ability and quality of life were compared between the two groups before the intervention,1 month and 3 months after dis-charge.Results There were 44 patients in the control group and 42 patients in the intervention group had completed the study.The fasting blood glucose,2h postprandial blood glucose,self-management ability and quality of life(except school performance)of the children in the intervention group were statistically significant in time effects,inter-group effects and interaction effects(all P＜0.05).After 3 months of discharge,the glycosylated hemoglobin in the intervention group was significantly lower than that in the control group(P＜0.05).Conclusion ADOPT model combined with DSMES program can improve the level of glycemic control,self-management ability and quality of life of children diagnosed with type 1 diabetes.
关键词
1型糖尿病/学龄期儿童/ADOPT模式/自我管理教育与支持/血糖管理/生活质量/自我管理行为/健康教育Key words
type 1 diabetes/school-aged children/ADOPT Mode/Diabetes Self-management Education and Support/glyce-mic management/quality of life/self-management behavior/health education引用本文复制引用
基金项目
山西省科技战略研究专项(202204031401158)
出版年
2024
NETL
NSTL
万方数据