Cox健康行为互动模式在糖尿病患者中的应用

Effects of Cox's interaction model of client health behavior in diabetic patients

目的:探讨Cox健康行为互动模式对糖尿病患者自我管理行为和生活质量的影响。方法:采用便利抽样法,选择2019年1-4月在华中科技大学同济医学院附属协和医院内分泌科住院的120例2型糖尿病患者为研究对象,将2019年1—2月住院的60例糖尿病患者设为对照组,将2019年3—4月住院的60例患者设为观察组。对照组给予常规护理,观察组采用依据Cox健康行为互动模式制订的干预措施进行干预。分别于患者入院24 h内、出院后3个月采用2型糖尿病患者自我管理行为量表和糖尿病患者生存质量特异性量表对患者进行评价。结果:对照组和观察组分别回收有效问卷51、54份。干预前,两组患者的饮食控制、运动依从性、监测依从性、足部护理得分比较,差异无统计学意义(P>0.05);干预后观察组患者的饮食控制、运动依从性、监测依从性、足部护理得分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者的生理功能、心理/精神、社会关系、治疗4个维度得分比较,差异均无统计学意义(P>0.05);干预后观察组患者的心理/精神、社会关系、治疗3个维度得分低于对照组,差异有统计学意义(P<0.05);两组患者干预后的生理功能维度得分比较,差异无统计学意义(P>0.05)。结论:Cox健康行为互动模式可以提高糖尿病患者的自我管理行为,并且能够改善患者生活质量中的心理/精神、社会关系和治疗情况。

Objective To explore the effects of Cox's interaction model of client health behavior(IMCHB)on self-management behavior and quality of life of diabetic patients.Methods Totally 120 patients with type 2 diabetes mellitus(T2DM)hospitalized in the Department of Endocrinology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology between January and April 2019 were selected by convenient sampling.A total of 60 diabetic patients admitted from January to February 2019 were included into the control group,while 60 patients hospitalized from March to April 2019 were include into the observation group.Patients in the control group received routine care,whereas patients in the observation group received interventions based on Cox's IMCHB.The patients were evaluated using the Self-Management Behavior Scale for Type 2 Diabetes and the Diabetics-Specific Quality of Life at 24 h after admission and 3 months after discharge.Results A total of 51 and 54 valid questionnaires were collected in control and observation group.Before intervention,there was no statistically significant difference in diet control,exercise compliance,monitoring compliance,and foot care scores between the two groups of patients(P>0.05);after intervention,the diet control,exercise compliance,monitoring compliance,and foot care scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference in physiological function,psychology/spirit,social relationship,and treatment between the two groups(P>0.05);after intervention,the psychology/spirit,social relationship,and treatment scores of the observation group were lower than those of the control group with statistically differences(P<0.05);and there was no statistical significant difference in physiological function scores between the two groups after intervention(P>0.05).Conclusions Cox's IMCHB can improve the self-management behavior of diabetic patients as well as their psychology/spirit,social relationship and treatment in quality of life.