保护动机理论下健康教育对2型糖尿病患者自我护理能力及并发症的应用

Application of Health Education Under the Protection Motivation Theory on Self-care Agency and Complications of Patients with Type 2 Diabetes

目的探讨保护动机理论下健康教育对2型糖尿病患者自我护理能力及并发症的应用。方法将我院2015年3月至2016年3月于我院诊治的60例2型糖尿病患者,依据教育方式不同,随机分为对照组和观察组,对照组给予常规健康,观察组在对照组基础上给予保护动机理论下健康教育,观察干预后3个月,对患者自我护理能力及并发症的影响。结果健康教育干预后3个月,观察组日常生活管理、疾病医学管理、情绪管理、自我管理行为总分和自我效能管理评分均显著高于对照组,差异具有统计学意义(P<0.05);观察组干预3个月后,眼底病变、糖尿病肾病、神经系统病变、脑梗死、其他并发症以及并发症总发生率均显著低于对照组,两组并发症总发生率存在极显著差异(P<0.01)。结论保护动机理论下健康教育可显著提高2型糖尿病患者自我护理能力,减少2型糖尿病并发症的发生。

Objective To study the application of health education under the protection motivation theory on self-care agency and complications of patients with type 2 diabetes. Methods From Mar. 2015 to Mar. 2016, a total of 60 patients with type 2 diabetes in our hospital were taken as the clinical research objects, and they were divided into control group and observation group according to their education types. Both groups were given routine healthy education, besides, the observation group accepted additional healthy education under the protection motivation theory. Three months after intervention, the self-care agency and complications in the two groups were observed and compared..Re^lts Three months after intervention, the scores of daily life management, medical management of diseases, emotion management and seLf-management behavior, and self-efficacy management score in the observation group were all higher than those in the control group, and their differences were statistically significant （P〈0.05）, the complications （fundus lesions, diabetic nephropathy, neurologic disorder, cerebral infarction, etc.） and total complication rate in the observation group were all lower than those in the control group, and their differences were statistically significant （P 〈0.01）. Conclusion Health education under the protection motivation theory can not only significantly improve the seLf-care agency of patients with type 2 diabetes, but also reduce the of complication incidence of type 2 diabetes.