信息动机行为技巧模型对早期DN患者的干预研究

Influence of information-motivation-behavior model on the early diabetic nephropathy

目的:探讨信息-动机-行为技巧模型对早期DN的影响。方法:将100例已确诊的早期DN患者随机分为对照组50例和研究组50例,对照组采用常规护理,研究组在常规护理的基础上,进行信息动机行为技巧模型干预。比较两组患者干预6个月、12个月的FPG、PG2 h、TG、TC、LDL-C、HDLC、Hb A1C、24 h UAER等生化指标及24 h UAER<30 mg的患者。结果:干预6个月、12个月后研究组的生化指标及24 h UAER<30 mg的患者例数较对照组改善更为显著,差异有统计学意义(P<0.05)。结论:信息-动机-行为技巧模型的干预可有效提高早期DN患者的治疗依从性,阻止或延缓病情的进展。

Objective： To discuss the influence of information-motivation-behavior（ IMB） model on the early diabetic nephropathy（ DN）. Methods： We divided 100 patients diagnosed with the early DN into the study group（ n = 50） and control group（ n = 50）. Patients of control group received the routine care,and on the basis of routine nursing,the study group accepted the IMB model intervention. After 6 months＇ and12 months ＇intervention, FPG, PG2 h, TG, TC, LDL-C, HDL-C, Hb A1 C,24 h UAER and the proportion of patients with UAER which was less than 30 mg within 24 h＇s in both groups were compared.Results： After being intervened for 6 months and 12 months,the biochemical indexes of the study group were more significant than those in the control group,which were of statistical significances（ P〈0. 05）.Conclusions： The holistic intervention of IMB model can effectively improve the treatment compliance of patients with early DN,and prevent or delay the progression of the disease.