基于提升自我效能的行为干预对糖尿病患者自我管理行为的影响

Study on the Effect of Behavioral Intervention Based on Enhancing Self-Efficacy on Self-Management Behavior of Diabetic Patients

目的 分析基于提升自我效能的行为干预对糖尿病患者自我管理行为影响。方法 采用随机数字表法,将厦门医院学院附属第二医院内分泌科2022年2月至2023年2月收治的88例糖尿病患者分为对照组与研究组,各44例,两组均实施常规护理,其中研究组在此基础上实施提升自我效能的行为干预。比较两组患者护理前后中文版糖尿病管理自我效能量表(C-DMSES)评分、糖尿病自我管理活动问卷(SDSCA)评分、血糖水平和2型糖尿病患者生活质量评定量表(DMQLS)评分。结果 护理前,两组C-DMSES评分、SDSCA评分、血糖水平、DMQLS评分差异无统计学意义(P> 0.05);护理后,两组C-DMSES评分、SDSCA评分较前提升,且研究组C-DMSES评分、SDSCA评分高于对照组(P <0.05);护理后,两组血糖水平较前降低,且研究组空腹血糖、餐后2 h血糖、糖化血红蛋白水平低于对照组(P <0.05);护理后,两组DMQLS评分较前降低,且研究组DMQLS评分低于对照组(P <0.05)。结论 采用基于提升自我效能的行为干预可有效增强糖尿病患者自我效能,提升自我管理行为水平,促进血糖控制效果,减少血糖控制不佳对生活质量的影响。

Objective To analyze the effect of behavioral intervention based on enhancing self-efficacy on self-management behavior of diabetic patients.Methods Using the random number table method,88 diabetic patients admitted to the Department of Endocrinology of the Second Hospital Affiliated to Xiamen Hospital College from February 2022 to February 2023 were divided into a control group and a study group,each with 44 cases,and both groups implemented conventional nursing care,in which the study group implemented behavioral interventions to enhance self-efficacy on this basis.The Chinese version of Diabetes Management Self-Efficacy Scale(C-DMSES)scores,diabetes self-management activity questionnaire(SDSCA)scores,blood glucose levels,and type 2 diabetes mellitus patients'quality of life scale(DMQLS)scores were compared between the two groups before and after the nursing care.Results Before nursing care,the differences between the two groups in C-DMSES score,SDSCA score,blood glucose level,and DMQLS score were not statistically significant(P>0.05);after nursing care,the two groups since C-DMSES score and SDSCA score were elevated compared with the previous one,and the C-DMSES score and SDSCA score of the study group were higher than that of the control group(P<0.05);after nursing care,blood glucose level of the two groups were decreased,and the fasting blood glucose,2 h postprandial blood glucose,and glycosylated hemoglobin levels of the study group were lower than those of the control group(P<0.05);after care,the DMQLS scores of the two groups were lower than before,and the DMQLS scores of the study group were lower than those of the control group(P<0.05).Conclusions Behavioral intervention based on improving self-efficacy can effectively enhance the self-efficacy of diabetic patients,improve the level of self-management behavior,promote the effect of blood glucose control,and reduce the impact of poor blood glucose control on quality of life.