基于IMB技巧模型的延续干预对老年糖尿病病人的影响效果分析

Effect of continuous intervention based on IMB skill model in the elderly diabetic patients

目的探究基于信息-动机-行为(IMB)技巧模型的延续干预对老年DM病人的影响。方法选取我院2017年5月至2019年5月收治的老年DM病人112例,采用随机数表法分为对照组和观察组,每组各56例。对照组实施常规干预,观察组实施基于IMB技巧模型的延续干预,对比2组自我管理行为评分、血糖水平及注射不良事件发生率。结果2组干预6个月后自我管理行为总分显著高于干预前,FPG、餐后2 h血糖(PBG)、HbA1c水平及注射不良事件发生率均明显低于干预前(P<0.05或P<0.01),且观察组上述指标改善更显著,2组间比较差异均有统计学意义(P<0.01)。结论基于IMB技巧模型的延续干预可有效提升老年DM病人的自我管理行为能力,改善血糖水平,并降低胰岛素注射不良事件发生率,值得推广。

Objective To investigate the effect of continued intervention based on Information-Motivation-Behavioral(IMB)skill model in the elderly patients with diabetes mellitus(DM).Methods A total of 112 elderly patients with DM treated in our hospital from May 2017 to May 2019 were selected and divided into control group and observation group by random number table method,with 56 cases in each group.The control group received routine intervention,and the observation group received continuous intervention based on the IMB skill model.The self-management behavior scores,blood glucose levels,and incidence of adverse events were observed and compared between the two groups.Results After 6 months of intervention,the total score of self-management behavior was significantly increased,and the levels of fasting plasma glucose,postprandial blood glucose,glycated hemoglobin and the incidence of adverse events of injection were significantly decrease in two groups(P<0.05 or P<0.01),especially in the observation group(P<0.01).Conclusions Continuous intervention based on IMB skill model can effectively improve the self-management behavior ability and blood glucose level,and reduce the incidence of adverse events of insulin injection in the elderly patients with DM.