运用授权理论对糖尿病糖调节受损患者实行行为改变的研究

Study on behavior changes using authorization theory for type 2 diabetes patients with impaired glucose regulation

目的探讨运用授权理论对新诊断的糖调节受损（IGR）及糖尿病（DM）患者进行授权教育的效果。方法对54例初次诊断为糖尿病以及IGT、IFG的患者进行为期1年的糖尿病授权教育。分别于授权教育前后，对54例患者检测其血糖、体质量、BMI、收缩压、舒张压、腰围、腰臀比及脂联素。授权教育分为5个步骤：明确问题、表达感情、设立目标、制订计划、评价结果。结果实行授权教育后，患者的各项指标均有显著改善，P〈0．05。结论授权教育使患者主动改变生活方式，取得行为改变的目标。

Objective To study the effect of authorization theory on patients with new-diagnosed type 2 diabetes with impaired glucose regulation. Methods Authorization education on diabetes were carried out in 54 new-diagnosed type 2 diabetes patients with impaired glucose regulation for 1 year.The blood glucose,body weight,BMI,systolic and diastohc blood pressure, waist circumference, waist-hip ratio and adiponectin were ex- amined before and after authorization education. Courses of education were divided into five steps： identify the problem; express feehngs; set goals; make a plan; evaluate the result. Results All the above factors alleviated after authorization education, P 〈 0.05. Conclusions Authorization education for patients can make them change their living style actively and achieve the goal of behavior change.