基于认知评价理论的家庭沟通模式对2型糖尿病患者疾病认知及自我管理行为的影响

Effect of family communication model based on cognitive evaluation theory on disease cognition and self-management behavior in patients with type 2 diabetes mellitus

目的探讨基于认知评价理论的家庭沟通模式对2型糖尿病(T2DM)患者疾病认知及自我管理行为的影响。方法选取2017年6月至2019年6月该院收治的T2DM患者150例,采用随机数字表法分为观察组和对照组,每组75例。对照组实施常规性护理指导,观察组实施基于认知评价理论的家庭沟通模式。比较2组患者干预前后疾病认知、自我管理行为及血糖控制效果。结果观察组患者干预后疾病认知评分、自我管理行为及各维度评分均明显高于对照组,空腹血糖、餐后2 h血糖、每天平均血糖波动幅度、最大血糖波动幅度均较对照组明显改善,差异均有统计学意义(P<0.05)。结论基于认知评价理论的家庭沟通模式可提高T2DM患者疾病认知水平及自我管理能力,有利于患者的血糖控制。

Objective To explore the influence of the family communication model based on the cognitive evaluation theory on the disease cognition and self-management behavior in the patients with type 2 diabetes mellitus(T2DM).Methods One hundred and fifty cases of T2DM in this hospital from June 2017 to June 2019 were selected and divided into the observation group and control group by adopting the random number table method,75 cases in each group.The control group implemented the routine nursing guidance,and the observation group implemented the family communication model based on recognition evaluation theory.The levels of disease cognition,self-management behavior and blood glycemic control effects before and after intervention were compared between the two groups.Results The disease cognition score,self-management behavior and scores of each dimension after intervention in the observation group were significant higher than those in the control group,the levels of fasting blood glucose,postprandial 2 h blood glucose,daily mean blood glucose fluctuation,and maximum blood glucose fluctuation in the observation group were significantly improved compared with the control group,and the differences were statistically significant(P<0.05).Conclusion The family communication model based on the cognitive evaluation theory can increase the disease cognition level and self-management ability in the patients with T2DM patients,and is beneficial to the patients′blood glucose control.