摘要
目的探讨运用授权原理及多阶段改变理论结合的教育模式干预糖尿病患者饮食行为对患者代谢指标的影响。方法将218例入住广西医科大学第一附属医院的糖尿病患者分成两组。采用不同的模式干预患者饮食行为,对照组采用传统的教育模式;干预组采用授权原理及多阶段改变理论相结合的教育模式。比较两组患者BMI、血糖、血脂、授权能力、行为改变情况。结果两组患者糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2h血糖(2hPG)、血清总胆固醇(TC)、低密度脂蛋白(LDL)指标及授权能力随时间的变化而改变;干预组的教育模式对FPG、2hPG、TC、TG、LDL指标及授权能力的改善较对照组更明显(P<0.05);HbA1c、FPG、2hPG、TG指标及授权能力的分组与时间因素存在交互作用,干预组各指标控制优于对照组(P<0.05);干预组患者在干预3、6个月后处于行动阶段及维持阶段的患者高于对照组(P<0.05)。结论运用授权原理与多阶段改变理论相结合的教育模式对糖尿病患者进行教育能帮助患者改善血糖、血脂指标,促进患者行为改变及授权能力的提高。
Objective To investigate the influence of different educational methods on the metabolic indices in patients with diabetes. Methods A total of 218 patients with diabetes in the First Affiliated Hospital of Guangxi Medical University were randomized divided into two groups. Different intervention ways were used： patients in the control group received conventional educational methods, while patients in experiment group received the educational methods combined with empowermem and multi-stage theory of change. The C-DES-SF scale scores and the HbA1c,FPG,2 b PG.TC,TG,LDL, HDL indices was compared between the two groups. Results Indices and empowered ability of HbAlc,FPG,2 h PG, TC, LDL were changed in accordance with time. As compared with control group, the educational method in intervention group had better change of FPG, 2 h PG, TC, LDL（P〈0.05）. Indices and empowered ability of HbA1c. FPG,2 h PG,TC,LDL had inter-action with time,and indexes in intervention group were better than those in the control group（P〈0.05）. At the 3rd and 6th month after invention in the intervention group, patients in movement stage and movement maintaining stage were higher than those in control group（P〈0.05）. Conclusion Well correction of bad diet behaviors by application of educational methods of combined with empowerment and multi-stage theory of change for the type 2 diabetes patients would help the patients to improve the ability of self-care and control the level of metabolic indices.
出处
《重庆医学》
CAS
北大核心
2016年第1期71-73,共3页
Chongqing medicine
基金
广西科技厅科学研究与技术开发课题(桂科攻1140003A-22)
关键词
授权
多阶段改变理论
糖尿病
empowerment
stages of change
diabetes mellitus
