保护动机理论在糖尿病前期人群中的应用  

THE APPLICATION OF PROTECTIVE MOTIVATION THEORY ON PRE- DIABETIC POPULATION

作　　者：韦琼[1] 张志凯[1] 张衍宁[1] 谭春荷[1] 符桂娇[1] 张长明[1] 

机构地区：[1]广州复大肿瘤医院,广东广州510310

出　　处：《现代医院》2015年第9期146-149,共4页Modern Hospitals

基　　金：广州市天河区科技计划项目(编号:201404KW013)

摘　　要：目的分析对糖尿病前期人群运用保护动机理论（PMT）进行社区干预的效果。方法对2013年6月～2014年1月在本院门诊部就诊中发现空腹血糖≥5．6mmol／L但〈7．0mmol／L的血糖异常者和（或）2h血糖在7．8～11．1mmol／L的人群进行跟踪干预。符合条件的60例按就诊时间先后顺序，采用随机数字表法分成两组：对照组（n=30）和PMT组（n=30），对照组给予常规的健康教育，PMT组运用保护动机理论进行干预：比较两组干预前后空腹血糖（FPG）、餐后2h血糖（2hPG）、运动时间及体重指数（BMT）等变化。结果PMT组干预后FPG、2hPG、运动〉210分/周及BMI均优于对照组，差异有统计学意义（P〈0．05）。结论PMT在提高糖尿病前期人群运动依从性上显示出优越性．短期PMT（6个月内）对血糖的降低效应显著高于传统健康教育方法。Objective To analyze the effect of community intervention with protection motivation theory on pre - diabetic population. Methods From June 2013 to January 2014, tracking interventions were done to those with fasting plasma glucose in ≥5.6 or greater tendency but 〈 7.0 tendency for mmoVL of blood sugar was abnormal and （or） two hours blood sugar tendency in 7.8 - 11.1 mmol/L in the clinic departments of our hospital. Eligible 60 cases were divided into two groups according to the admission sequence with the random number table method： control group （ n = 30 ） and PMT group （ n = 30 ）. The control group was given routine health education, The PMT group was inter- vened with protection motivation theory. The two groups were compared in terms of fasting plasma glucose （FPG） be- fore and after intervention, 2 h postprandial blood glucose （2 hPG）, movement time and body mass index （BMT）. Results After the intervention, in terms of FPG, 2 hPG, physicat exercises with a score of 〉 210/week and BMI, the PMT group was singificantly superior to the control group（p 〈 0.05 ）. Conclusion PMT is advantegeous in increasing the compliance of physical exercise of pre - diabetic groups. Lowering effect of Short - term PMT （ 6 months） on blood glucose is significantly higher than traditional health education method.

关 键 词：保护动机理论 糖尿病前期 应用 

分 类 号：R587.1[医药卫生—内分泌]