首页|基于健康行为互动模式的护理干预在2型糖尿病患者中的应用效果

基于健康行为互动模式的护理干预在2型糖尿病患者中的应用效果

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目的 分析基于健康行为互动模式(IMCHB)的护理干预在2型糖尿病(T2DM)患者中的应用效果。方法 选取2020年1月至2022年5月南阳市肿瘤医院收治的105例T2DM患者为研究对象,根据入院时间不同将其分为常规组(2020年1月至2021年8月,52例)和研究组(2021年9月至2022年5月,53例)。常规组予以常规护理干预,研究组在常规组基础上开展基于IMCHB的护理干预。比较两组的遵医行为、自护能力、心理状态及生活质量。结果 研究组的总遵医率为92。45%,高于常规组的75。00%,差异具有统计学意义(P<0。05)。干预前,两组的自我护理能力量表(ESCA)、抑郁-焦虑-压力量表(DASS-21)及修订版糖尿病患者生活质量量表(DMQLS)评分比较,差异无统计学意义(P>0。05);干预后,两组的ESCA及修订版DMQLS评分均高于干预前,DASS-21评分低于干预前,且研究组优于常规组,差异具有统计学意义(P<0。05)。结论 基于IMCHB的护理干预应用在T2DM患者中可提高患者的遵医行为,促进心理健康,提高自护能力,进而改善生活质量,值得临床应用及推广。
Application effect of nursing intervention based on interaction model of client health behavior in patients with type 2 diabetes mellitus
Objective To analyze the application effect of nursing intervention based on interaction model of client health behavior(IMCHB)in patients with type 2 diabetes mellitus(T2DM).Methods A total of 105 patients with T2DM admitted in Nanyang Tumor Hospital from January 2020 to May 2022 were selected as the research objects.According to the different admission time,the patients were divided into routine group(January 2020 to August 2021,52 cases)and study group(September 2021 to May 2022,53 cases).The routine group was given routine nursing intervention,and the study group was given nursing intervention based on IMCHB on the basis of the routine group.The compliance behavior,self-care ability,psychological state and quality of life were compared between the two groups.Results The total compliance rate of the study group was 92.45%,which was higher than 75.00%of the routine group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of Exercise of Self-Care Agency Scale(ESCA),Depression Anxiety Stress Scale-21(DASS-21)and revised Diabetes Mellitus Quality of Life Scale(DMQLS)between the two groups(P>0.05);after intervention,the scores of ESCA and the revised DMQLS of the two groups were higher than those before intervention,and the DASS-21 score was lower than that before intervention,and the study group were better than the routine group,the differences were statistically significant(P<0.05).Conclusion The nursing intervention based on IMCHB applied in T2DM patients can improve patients'compliance behavior,promote mental health,elevate self-care ability,and then improve the quality of life,which is worthy of clinical application and promotion.

interaction model of client health behaviortype 2 diabetes mellituscompliance behaviorself-care abilitypsychological statequality of life

贺佩佩

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南阳市肿瘤医院内分泌科,河南南阳,473000

健康行为互动模式 2型糖尿病 遵医行为 自护能力 心理状态 生活质量

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(20)