“知行信”模式干预对T2MD患者血糖控制情况、心理状态的影响

Effect of"Knowledge-Attitude-Behavior"mode intervention on blood glucose control and psychological state of patients with T2MD

目的探讨“知行信”模式干预对2型糖尿病(T2MD)患者血糖控制情况、心理状态的影响。方法选择2018年1月—2020年1月本院收治的106例T2MD患者作为研究对象,便利取样法分为研究组和对照组两组,每组各53例。研究组进行“知行信”模式干预+常规干预,对照组进行常规干预。比较两组T2MD患者的2hPG(餐后2 h血糖)水平、FPG(空腹血糖)水平、HbAlc(糖化血红蛋白)水平、心理状态评分、ESCA评分。结果研究组干预后T2MD患者的2hPG为(8.36±0.57)mmol/L、FPG为(6.16±0.32)mmol/L、HbAlc为(6.94±0.83)mmol/L、HAMA为(9.24±1.46)分、HAMD为(9.05±1.27)分,均低于对照组(P<0.05);其ESCA评分为(109.67±16.74)分,高于对照组(P<0.05)。结论“知行信”模式干预有助于控制T2MD患者的血糖水平,改善其自护能力与心理状态,应用价值良好。

Objective To explore the effect of"Knowledge-Attitude-Behavior"mode intervention on blood glucose control and psychological state of patients with type 2 diabetes mellitus(T2MD).Methods 106 cases of T2MD patients admitted to our hospital from January 2018 to January 2020 were selected as the research subjects,and they were divided into two study groups by convenient sampling method,with 53 cases in each group.The study group received"Knowledge-Attitude-Behavior"mode intervention and routine intervention,while the control group received routine intervention.2h postprandial blood glucose(2hPG)level,FPG(fasting blood glucose)level,HBALC(glycated hemoglobin)level,psychological status score and ESCA score were compared between the 2 groups.Results After intervention,2h PG,FPG,HBALC,HAMA and HAMD of T2MD patients in the study group were(8.36±0.57)mmol/L,(6.16±0.32)mmol/L,(6.94±0.83)mmol/L,(9.24±1.46)and(9.05±1.27)respectively,which were lower than those in the control group(P<0.05).The ESCA score in the study group was(109.67±16.74),which was higher than that of the control group(P<0.05).Conclusions The intervention mode of"Knowledge-Attitude-Behavior"is helpful to control the blood glucose level of patients with T2MD,improve their self-care ability and psychological state,and has good application value.