Application effects of behavioral intervention based on authorization principle in patients with type 2 diabetes
Objective:To observe application effects of behavioral intervention based on authorization principle in patients with type 2 diabetes.Methods:The clinical data of 122 patients with type 2 diabetes admitted to the hospital from December 2019 to December 2021 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,61 cases in each group.The control group was given routine nursing,while the observation group was given the behavioral intervention based on the authorization principle.The medication compliance,the blood glucose[fasting blood glucose(FPG),2 h postprandial blood glucose(2hPG),glycosylated hemoglobin(HbAlc)]levels,the self-care behavior[summary of diabetes self care activities(SDSCA)]score,the quality of life[World Health Organization quality of life-BREF(WHOQOL-BREF)]score,and the incidence of adverse events were compared between the two groups before and after the nursing.Results:The medication compliance of the observation group was 96.72%(59/61),which was higher than 85.25%(52/61)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the levels of FPG,2hPG and HbAlc in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The SDSCA scores of medication,self-monitoring,diet control,foot care and exercise in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The WHOQOL-BREF scores of physical health,mental health,social relations and surrounding environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 3.28%(2/61),which was lower than 16.39%(10/61)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The behavioral intervention based on the authorization principle in the patients with type 2 diabetes can improve their medication compliance and the self-care behaviors,reduce blood glucose levels,improve the quality of life,and reduce the incidence of adverse events.Moreover,it is superior to the routine nursing.