基于Peplau人际关系理论的社区糖尿病前期人群管理方案效果评价

Evaluation of the effect of management plan among community prediabetic population based on Peplau′s interpersonal relationship theory

目的研究基于Peplau人际关系理论的社区糖尿病前期人群的管理效果。方法选取某社区60例糖尿病前期人群为研究对象,采用随机数字表法将人群分为干预组和对照组,每组30例。对照组接受常规社区护理干预,干预组在此基础上应用Peplau人际关系理论对社区糖尿病前期人群进行认识期、确认期、进展期、解决期的3个月管理。比较干预前后2组患者的人体测量学指标、血糖、血脂、糖尿病知识与态度、饮食与运动效能等指标的变化。结果3个月后,干预组体质量、餐后2 h血糖、甘油三酯指标均低于对照组,2组比较差异有统计学意义(P<0.05);干预组对待糖尿病态度、饮食效能、运动效能得分均高于对照组,2组比较差异有统计学意义(P<0.05);2组在腰围、臀围、空腹血糖、糖化血红蛋白及胆固醇等指标比较差异无统计学意义(P>0.05)。结论以Peplau人际关系理论为指导,从糖尿病前期个体角度出发,构建的针对糖尿病前期的管理模式,可提升患者对糖尿病饮食、运动干预的认可度,能积极参与各项生活方式干预活动,从而有效改善了糖尿病前期人群的糖代谢和脂代谢指标。

Objective To study the effect of management plan among community prediabetic populations based on Peplau′s interpersonal relationship theory.Methods Sixty people with prediabetes in the Nicheng community were selected as the research object.The objects were divided into an intervention group and a control group by the random number table method,30 cases in each group.The control group was given routine community nursing intervention.On this basis,the intervention group applied Peplau′s interpersonal relationship theory to manage the community prediabetes population for 3 months in the recognition period,confirmation period,progression period and resolution period.The changes of anthropometric indexes,blood sugar,blood lipids,diabetes knowledge and attitudes,diet and exercise behavior efficacy between the two groups were compared before and after the intervention.Results After 3 months,the body weight,2-hour postprandial blood glucose and triglyceride indexes in the intervention group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).The scores of attitudes toward diabetes,dietary efficacy scores,and exercise efficacy scores in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in waist circumference,hip circumference,fasting blood glucose,glycosylated hemoglobin and cholesterol between the two groups(P>0.05).Conclusion The established management model guided by Peplau′s interpersonal relationship theory and from the perspective of individuals with prediabetes has improved their recognition of diabetes diet and exercise intervention,and can actively participate in various lifestyle intervention activities,thereby effectively improve the glucose metabolism and lipid metabolism indicators of prediabetic people.