首页|二甲双胍联合家庭信息-动机-行为模型干预在2型糖尿病患者中的应用效果研究

二甲双胍联合家庭信息-动机-行为模型干预在2型糖尿病患者中的应用效果研究

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目的 评价二甲双胍联合家庭信息-动机-行为模型干预对 2 型糖尿病患者长期疗效的影响.方法 回顾性分析 2021 年 1 月至 2022 年 12 月在中国人民解放军联勤保障部队第九〇三医院就诊的 2 型糖尿病患者资料,根据干预方案分为对照组和试验组.对照组接受二甲双胍治疗联合常规院外干预,试验组接受二甲双胍治疗联合家庭信息-动机-行为模型干预.分别比较两组患者干预前和干预后3,6,12个月时的血糖、血脂相关指标,对两组患者干预 12 个月后的疾病认知度、治疗依从性、生活质量和干预满意度进行比较.结果 研究共纳入 159 例患者,对照组 87 例,试验组 72 例.与治疗前相比,两组患者治疗后3,6,12个月的空腹血糖(FBG)、餐后2 h血糖(2hPBG)、糖化血红蛋白(HbA1c)、低密度脂蛋白(LDL-C)、甘油三酯(TG)及总胆固醇(TC)均较治疗前显著降低,且试验组低于对照组(P<0.05).试验组的治疗依从性、疾病认知度显著高于对照组患者(P<0.05).干预后,试验组的生活质量和干预满意度显著高于对照组患者(P<0.05).结论 二甲双胍联合家庭信息-动机-行为模型干预可有效控制 2 型糖尿病患者的血糖水平,提高患者生活质量及满意度.
Study on the application effect of metformin combined with information-motivation-behavioral model intervention in patients with type 2 diabetes
Objective To assess the effect of metformin combined with family information-motivation-behavior model intervention on the long-term efficacy of patients with type 2 diabetes.Methods A retrospective analysis was conducted on data from type 2 diabetes patients treated at the 903rd Hospital of the Joint Logistic Support Force of the People's Liberation Army of China from January 2021 to December 2022.Patients were divided into the control group and the test group based on the intervention protocol.The control group received metformin treatment combined with conventional outpatient interventions,while the test group received metformin treatment combined with a family information-motivation-behavior model intervention.The blood glucose and lipid-related indicators of the two groups were compared before and 3,6,and 12 months after intervention.The disease awareness,treatment compliance,quality of life,and intervention satisfaction were also compared between the two groups 12 months after intervention.Results A total of 159 patients were included in the study,with 87 in the control group and 72 in the test group.Compared with baseline,fasting blood glucose(FBG),2-hour postprandial blood glucose(2hPBG),glycated hemoglobin(HbA1c),low-density lipoprotein cholesterol(LDL-C),triglycerides(TG),and total cholesterol(TC)were significantly reduced at 3,6,and 12 months after treatment in both groups,with the test group showing lower levels than the control group(P<0.05).Treatment compliance and disease awareness were significantly higher in the test group compared to the control group(P<0.05).Following intervention,the quality of life and intervention satisfaction were significantly higher in the test group compared to the control group(P<0.05).Conclusion Metformin combined with information-motivation-behavioral model intervention effectively controls blood glucose levels in patients with type 2 diabetes,improving patient quality of life and satisfaction.

Type 2 diabetesMetformin treatmentInformation-motivation-behavioral model interventionSatisfaction

余丽、王霞容、张华北、吴焕、尹琼、胡柳青、周红玉

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中国人民解放军联勤保障部队第九〇三医院内分泌科(杭州 310000)

中国人民解放军联勤保障部队第九〇三医院护理部(杭州 310000)

2型糖尿病 二甲双胍治疗 家庭信息-动机-行为模型干预 满意度

杭州市医药卫生科技项目

B20231072

2024

中国药师
国家药品监督管理局高级研修学院,武汉医药(集团)股份有限公司

中国药师

CSTPCD
影响因子:0.944
ISSN:1008-049X
年,卷(期):2024.27(3)
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