摘要
目的探讨基于行为改变模式(BCW)的健康宣教结合自我管理对2型糖尿病(T2DM)患者的干预效果。方法选取2020年5月—2023年5月济南市济阳区中医医院收治的60例T2DM患者为研究对象,按照随机数字表法将其分为对照组和观察组,各30例。对照组采用常规护理,观察组在对照组基础上采用基于BCW的健康宣教结合自我管理,两组均持续干预3个月。比较两组患者的健康管理行为、血糖控制健康知识水平及并发症发生情况。结果干预后,观察组健康促进生活方式-Ⅱ量表各个维度评分均高于对照组,血糖控制健康知识中饮食知识、用药知识及生活知识评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为3.33%,低于对照组的26.67%,差异有统计学意义(P<0.05)。结论采用基于BCW的健康宣教结合自我管理干预T2DM患者,可改善患者的健康管理行为,提升其血糖控制健康知识水平,减少并发症的发生。
Objective To explore the effect of health education based on behavior change wheel(BCW)combined with self-management on type 2 diabetes mellitus(T2DM)patients.Methods Sixty T2DM patients admitted to Jinan City Jiyang District Traditional Chinese Medicine Hospital from May 2020 to May 2023 were selected as the research objects,they were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group received routine nursing,and the observation group received health education based on BCW combined with self-management on the basis of the control group,both groups continued the intervention for 3 months.The health management behavior,blood glucose control health knowledge level and the incidence of complications were compared between the two groups.Results After the intervention,the scores of all dimensions of the Health Promoting Lifestyle Profile-Ⅱscale in the observation group were higher than those in the control group,and the scores of diet knowledge,medication knowledge and life knowledge in the blood glucose control health knowledge were higher than those in the control group,and the differences between the groups were statistical significance(P<0.05).The incidence of complications in the observation group was 3.33%,which was lower than 26.67%in the control group,and the difference was statistically significant(P<0.05).Conclusion Health education based on BCW combined with self-management intervention in T2DM patients can help improve patients'health management behavior,improve their blood sugar control health knowledge level,and reduce the occurrence of complications.
作者
田文文
朱玉花
TIAN Wenwen;ZHU Yuhua(Department of Endocrinology,Jinan City Jiyang District Traditional Chinese Medicine Hospital,Jinan 251400,China;Department of Respiratory,Jinan City Jiyang District Traditional Chinese Medicine Hospital,Jinan 251400,China)
出处
《反射疗法与康复医学》
2024年第11期191-194,共4页
Reflexology And Rehabilitation Medicine
关键词
2型糖尿病
行为改变模式
健康宣教
自我管理
健康管理行为
Type 2 diabetes
Behavior change wheel
Health education
Self-management
Health management behavior
