保护动机理论应用于糖尿病患者干预中的效果观察

Protective motivation theory in intervention of diabetic patients

目的 探究保护动机理论应用于糖尿病患者干预中的效果。方法 选取2016年9月至2017年9月本院收治的糖尿病患者68例作为对照组,给予常规干预,主要为采取讲座或座谈会的方式,向患者介绍糖尿病相关知识;另选取2017年10月至20018年10月本院收治的糖尿病患者68例作为观察组,给予保护动机理论干预,主要为围绕严重性、易感性、内部奖励、外部奖励、反应效能、自我效能及反应代价等7个因素对患者开展干预。对比两组自我效能量表评分(CDSES评分)、血糖监测指标及并发症发生率。结果 观察组干预3个月后DSES评分高于对照组[(106.76±6.58)分比(92.56±5.97)分],两组比较差异有统计学意义(P<0.05);观察组干预3个月后血糖监测指标中血糖高于对照组[(25.49±1.46)mmol/L比(17.87±2.05)mmol/L],糖化血红蛋白高于对照组[(4.66±0.65)%比(2.52±0.34)%],两组比较差异均有统计学意义(均P<0.05);观察组干预3个月后并发症发生率低于对照组[5.88%比19.12%],两组比较差异有统计学意义(P<0.05)。结论 保护动机理论应用于糖尿病患者干预中,可显著提高患者自我效能,改善血糖监测指标,并有效降低并发症发生率,值得推广。

Objective To explore the effect of protective motivation theory in the intervention of diabetic patients. Methods 68 patients with diabetes admitted into our hospital from September, 2016 to September, 2017 were selected as a control group, and were routinely intervened, mainly introducing the patients with diabetes related knowledge by lectures or symposiums. From October, 2017 to October, 2018, 68 patients with diabetes admitted into our hosptial were selected as an observation group, and were intervened by protection motivation theory, mainly around the seven factors including severity, susceptibility, internal reward, external reward, response efficacy, self-efficacy, and reaction cost. The self-efficacy, blood glucose monitoring indicators, and incidence of complications were compared between the two groups. Results 3 months after the intervention, the DSES score was (106.76±6.58) in the observation group points, and was (92.56±5.97) in the control group, with a statistical difference (P < 0.05);the blood glucose and glycated hemoglobin were higher and the incidence of complications was lower in the observation group than in the control group [(25.49±1.46) mmol/L vs.(17.87±2.05) mmol/L,(4.66±0.65)% vs.(2.52±0.34)%, and 5.88% vs.19.12%;all P < 0.05]. Conclusion The application of protective motivation theory in diabetic intervention can significantly improve the patients’ self-efficacy and blood glucose monitoring indicators, and effectively reduce the incidence of complications, so it is worth for promotion.