摘要
目的探讨行为转变理论（TTM）对2型糖尿病患者建立自我血糖监测行为中的影响。方法选择60例2型糖尿病患者，随机分为干预组（n=30）和对照组（n=30）。对照组接受单纯的糖尿病血糖监测知识教育，干预组接TTM干预方法，干预6个月后比较两组患者自我血糖监测行为变化。结果干预后1个月两组患者自我血糖监测行为的得分比较差异无统计学意义（P〉0．05）；干预2，6个月干预组自我血糖监测行为得分为（17．89±2．67），（23．76±3．74）分，均高于对照组得分（15．27±2．35），（12．36±2．03）分，差异均有统计学意义（t分别为4．792，8．863；P〈0．01）；干预3，4，5个月两组患者自我血糖监测行为比较差异均有统计学意义（P〈0．01）；两组患者干预1～6个月自我血糖监测行为比较差异均有统计学意义（F分别为67．031，26．573；P〈0．01）。干预前两组患者血脂代谢指标的比较差异均无统计学意义（P〉0．05）；干预后干预组FBG、P2hBG分别为（5．83±1．45），（10．29±4．42）mmol／L，均低于对照组（7．63±1．64），（12．95±4．78）mmol／L，差异均有统计学意义（t分别为1．972，2．036；P〈0．05）；其他血脂指标两组比较差异均有统计学意义（P〈0．05）。结论TTM对帮助2型糖尿病患者建立自我血糖监测行为有促进作用，建立良好的自我血糖监测行为能有效改善2型糖尿病的血脂代谢指标。
Objective To explore the effects of the trans-theoretical model（TTM） on the behaviors of self-monitoring blood glucose in patients with type 2 diabetes mellitus. Methods Sixty patients with type 2 diabetes were randomly divided into control group which received routine health education of blood glucose monitoring and intervention group which received the intervention based on trans-theoretical model. After six months, behaviors changes of self-blood glucose monitoring in two groups were compared. Results One month later, no difference was found in two groups about the score of self-blood glucose monitoring behaviors （P 〉 0. 05 ）. The score of intervention group in second month and sixth months was （ 17.89 ±2.67 ） and （23.76 ± 3.74 ） respectively, higher than control group that was （ 15.27 ± 2. 35 ） and （ 12. 36 ± 2. 03 ）, the difference was statistically significant （ t = 4. 792,8. 863, respectively ;P 〈 0. 01 ）. There was significantly difference in two groups about the score of self-monitoring blood glucose behaviors in third, fourth and fifth month （P 〈 0. 01 ）. The difference between two groups in the behaviors of self-monitoring blood glucose was statistically significant （ F = 67.031,26.573, respectively; P〈0.01）. Before intervention, two groups in lipid metabolism index was no difference（P 〉 0. 05 ） ; while after intervention, FBG, P2hBG of intervention group was （ 5.83 ± 1.45 ）, （ 10.29 ± 4.42） mmol/L, lower than control group that was （7.63 ± 1.64 ）, （ 12.95±4.78 ） mmol/L respectively, the difference was statistically significant （ t = 1. 972,2. 036, respectively; P 〈 0. 05 ）, and the difference about others index of lipid metabolism in two groups was statistically significant （ P 〈 0. 05 ）. Conclusions The application of trans-theoretical model can promote to form self-monitoring blood glucose behaviors in patients with 2 type diabetes mellitus and those behaviors can improve the index of blood and fattiness metaboliz
出处
《中华现代护理杂志》
2012年第5期509-513,共5页
Chinese Journal of Modern Nursing
关键词
糖尿病
2型
行为转变理论
自我血糖监测行为
Diabetes,2 type
Trans-theoretical model
Blood glucose self-monitor behaviour
