首页|健康信念模式对动态血糖监测糖尿病患者的应用效果研究

健康信念模式对动态血糖监测糖尿病患者的应用效果研究

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目的 探讨健康信念模式对血糖监测的糖尿病患者的应用效果.方法 动态血糖监测的糖尿病患者 70 例,随机分为试验组与对照组,各 35 例.对照组实施糖尿病常规健康指导,试验组实施基于健康信念模式的健康教育.比较两组患者干预后糖化血红蛋白、空腹血糖、餐后 2 h血糖水平及常见并发症发生情况、健康促进生活方式量表(HPLP-Ⅱ)评分.结果 干预后,试验组患者糖化血红蛋白(6.15±0.85)%、空腹血糖(6.51±1.11)mmol/L、餐后 2 h血糖(7.62±1.15)mmol/L均低于对照组的(7.28±1.04)%、(7.45±1.15)mmol/L、(8.54±1.09)mmol/L,差异具有统计学意义(P<0.05).试验组常见并发症发生率 14.3%低于对照组的 45.7%,差异具有统计学意义(P<0.05).干预后,试验组患者体育运动评分(24.17±4.13)分、健康责任评分(31.11±3.82)分、压力管理评分(31.05±2.26)分、营养评分(25.65±4.50)分、人际关系评分(24.78±1.83)分、精神成长评分(25.16±3.39)分、总分(161.92±9.30)分均高于对照组的(22.04±3.91)、(28.28±3.86)、(29.51±2.52)、(21.43±4.11)、(23.42±1.60)、(22.95±3.67)、(147.63±11.43)分,差异具有统计学意义(P<0.05).结论 基于健康信念模式的健康指导可改善动态血糖监测糖尿病患者健康行为、生化指标及并发症发生情况,一定程度上为改善动态血糖监测糖尿病患者的并发症相关治疗护理提供了借鉴内容.
Study on application effect of health belief model in dynamic blood glucose monitoring of patients with diabetes
Objective To explore the application effect of health belief model in dynamic blood glucose monitoring of patients with diabetes mellitus.Methods 70 diabetic patients with dynamic blood glucose monitoring were selected as the research subjects,and were randomly divided into an experimental group and a control group,with 35 cases in each group.The control group received routine health guidance,and the experimental group received health guidance based on the health belief model.The glycosylated hemoglobin,fasting blood glucose,2 h postprandial blood glucose,occurrence of common complications,health-promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)score were compared between the two groups,after intervention.Results After the intervention,the experimental group had glycosylated hemoglobin of(6.15±0.85)%,fasting blood glucose of(6.51±1.11)mmol/L,2 h postprandial blood glucose of(7.62±1.15)mmol/L,which were lower than(7.28±1.04)%,(7.45±1.15)mmol/L and(8.54±1.09)mmol/L in the control group.The difference was statistically significant(P<0.05).The incidence of common complications in the experimental group was 14.3%,which was lower than 45.7%in the control group,and the difference was statistically significant(P<0.05).After the intervention,the experimental group had physical exercise score of(24.17±4.13)points,health responsibility score of(31.11±3.82)points,stress management score of(31.05±2.26)points,nutrition score of(25.65±4.50)points,interpersonal relationship score of(24.78±1.83)points and spiritual growth score of(25.16±3.39)points,and total score of(161.92±9.30)points,which were higher than(22.04±3.91),(28.28±3.86),(29.51±2.52),(21.43±4.11),(23.42±1.60),(22.95±3.67),and(147.63±11.43)points in the control group.The difference was statistically significant(P<0.05).Conclusion The health guidance based on the health belief model can improve the health behavior,biochemical indicators and complications of diabetic patients with dynamic blood glucose monitoring,which can provide a reference for improving the development of relevant standards for complications in diabetic patients with dynamic glucose monitoring.

Health belief modelDynamic blood glucose monitoringDiabetesHealth educationHealthy behaviorBiochemical indicators

郑三燕、陈青海、林淑惠、李仙丽

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363000 联勤保障部队第九○九医院/厦门大学附属东南医院血液内分泌科

健康信念模式 动态血糖监测 糖尿病 健康教育 健康行为 生化指标

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(9)