IMB干预模式对高血压合并糖尿病患者的血压、血糖及自我管理行为能力的影响分析

The Influence of IMB Intervention Mode on Blood Pressure,Blood Glucose and Self-management Behavior of Patients with Hypertension Complicated with Diabetes Mellitus

目的:探讨信息-动机-行为(IMB)干预模式对高血压合并糖尿病患者的血压、血糖及自我管理行为能力的影响。方法:采用便利抽样法选择2017年6月-2018年12月于本院就诊的高血压合并糖尿病患者198例为研究对象。根据随机数字表法将患者分为对照组和观察组,各99例。对照组采用常规管理,观察组采用IMB模型管理,两组均干预3个月。比较两组血压、血糖及自我管理行为能力评分。结果:干预后,观察组收缩压及舒张压均低于干预前,且均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组空腹血糖及糖化血红蛋白均低于干预前,且均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组治疗管理、饮食运动管理、生活习惯管理、危险因素管理评分均高于干预前,且上述评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组饮食、运动、血糖监测、足部护理、吸烟状态评分均高于干预前,且上述评分均高于对照组,差异均有统计学意义(P<0.05)。结论:IMB干预模式可以有效控制高血压合并糖尿病患者的血压、血糖,并提高患者的自我管理行为能力,值得临床推广。

Objective:To investigate the effects of information-motivation-behavior(IMB)intervention mode on blood pressure,blood glucose and self-management behavior of patients with hypertension and diabetes mellitus.Method:A total of 198 patients with hypertension complicated with diabetes mellitus who were admitted to our hospital from June 2017 to December 2018 were selected as the research subjects by convenience sampling method.According to random number table method,the patients were divided into control group and observation group,99 cases in each group.The control group was treated with routine management,and the observation group was treated with IMB model.Both groups were treated for 3 months.Blood pressure,blood glucose and self-management behavior ability scores were compared between the two groups.Result:After the intervention,the systolic and diastolic blood pressure of the observation group were lower than those before the intervention,and lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the fasting blood glucose and glycosylated hemoglobin of the observation group were lower than those before the intervention,and were lower than those of the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of treatment management,diet and exercise management,lifestyle management and risk factor management in the observation group were higher than those before the intervention,and the above scores were higher than those in the control group,the differences were statistically significant(P<0.05).After the intervention,the scores of diet,exercise,blood glucose monitoring,foot care and smoking status in the observation group were higher than those before the intervention,and the above scores were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:IMB intervention mode can effectively control the blood pressure and blood glucose of patients with hypertension and diabetes,and improve the ability of self-management behavior of patients,which is worthy of clinical promotion.