健康信念理论在2型糖尿病患者自护行为中的效果观察

Effect of health belief model on type 2 diabetics mellitus self-care behavior

目的:探讨健康信念模式在糖尿病教育中对糖尿病患者自护行为的有效性。方法:对65例2型糖尿病患者实施以健康信念理论为基础的干预模式,并进行自身对照观察,测评干预前后患者的糖尿病知识、自我护理能力和血糖控制情况。结果:65例患者在干预后糖尿病知识、饮食控制能力、规律锻炼、遵嘱用药、足部护理、预防处理高低血糖能力和血糖水平均较干预前有明显改善(P<0.01),自我监测能力无明显改善(P>0.05)。结论:健康信念模式可提高教育的效率,对改善糖尿病患者的自护行为有促进作用。

Objective：To investigate the efficacy of health belief model on self-care behavior of the diabetic patients.Methods：A self-control observation based-on health belief theory was carried out in 65 patients with type 2 diabetes.The diabetes knowledge,self-care ability and blood glucose control of the patients were compared before and after intervention.Results：After intervention,the patients′ knowledge about diabetes,ability of diet control,regular exercise,medical order compliance,foot care and preventive management of high and low blood glucose were enhanced,and their blood sugar level improved significantly（P0.01）,while their self-monitoring ability presented no significant difference before and after intervention（P0.05）.Conclusions：Health belief model can improve the efficiency of diabetes healthy education as well as the self-care behavior of the diabetic patients.