知信行护理干预模式对2型糖尿病患者自我管理行为及依从性的影响

Effect of knowledge-attitude/belief-practice nursing intervention mode on self-management behavior of Type 2 diabetes patients

目的探讨知信行护理干预模式对2型糖尿(T2DM)病患者自我管理行为及依从性的影响。方法选取2019年1月—2021年1月医院收治的T2DM患者80例为研究对象,按照组间基线资料可比的原则,分为对照组和观察组,各40例。对照组患者实施常规护理干预模式,观察组患者在对照组基础上采用知信行护理干预模式,比较两组患者血糖的控制效果、自我管理行为及依从性。结果通过采用知信行护理模式,观察组患者血糖指标控制水平优于对照组;观察组患者自我管理行为优于对照组,差异均有统计学意义(P<0.05);观察组依从率优于对照组,但差异无统计学意义(P>0.05)。结论采用知信行护理干预,可以有效控制T2DM患者的血糖,提高患者的自我效能。但由于本研究的样本量较小,未发现对患者依从性有影响,有待进一步研究观察。

Objective To investigate the effect of knowledge-attitude/be lief-practice nursing intervention mode on self-management behavior and compliance of Type 2 diabetes(T2 DM) patients.Methods A total of 80 T2 DM patients admitted in the hospital from January 2019 to January 2021 were selected as the study subjects.According to the principle of comparison of baseline data between groups,they were divided into control group and observation group,with 40 cases in each group.Patients in the control group received routine nursing intervention mode,patients in the observation group received epistemic and behavioral nursing intervention mode on the basis of the control group.The blood glucose control effect,self-management behavior and compliance of patients in the two groups were compared.Results After the application of KAP mode, the control level of blood glucose index in the observation group was better than the control group.The observation group had better selfmanagement behavior than the control group,difference was statisticaly significant(P<0.05).The compliance rate of observation group was better than the control group,but the difference was not statistically different(P>0.05).Conclusion Nursing intervention with knowledge,faith and action could effectively control blood glucose of T2 DM patients and improve their self-efficacy.However,due to the small sample size of this study,there the Objective To investigate the effect of knowledge-attitude/belief-practice nursing intervention mode on self-management behavior and compliance of Type 2 diabetes(T2 DM) patients. Methods A total of 80 T2 DM patients admitted in the hospital from January 2019 to January 2021 were selected as the study subjects.According to the principle of comparison of baseline data between groups, they were divided into control group and observation group, with 40 cases in each group. Patients in the control group received routine nursing intervention mode, patients in the observation group received epistemic and behavioral nursing intervention mode on the basis of the control group. The blood glucose control ef fect, self-management behavior and compliance of patients in the two groups were compared. Results After the application of KAP mode, the control level of blood glucose index in the observation group was better than the control group. The observation group had better selfmanagement behavior than the control group, dif ference was statisticaly signifi cant(P<0.05). The compliance rate of observation group was better than the control group, but the dif ference was not statistically dif ferent(P>0.05).Conclusion Nursing intervention with knowledge, faith and action could effectively control blood glucose of T2 DM patients and improve their self-efficacy. However, due to the small sample size of this study, there the application of KAP mode, found on patients’ compliance, which needs further study and observation.