知-信-行模式在老年2型糖尿病患者血糖管理中的应用效果  

Application Effect of Knowledge-Belief-Practice Mode in Blood Glucose Management of Elderly Patients with Type 2 Diabetes Mellitus

作　　者：张炎芬 谢颜花 余惠兰[1] Zhang Yan-fen;Xie Yan-hua;Yu Hui-lan(Endocrine Hematology Department,Zhaoqing Second People's Hospital,Zhaoqing 526060,Guangdong Province,China)

机构地区：[1]肇庆市第二人民医院内分泌血液科,广东肇庆526060

出　　处：《中国社区医师》2022年第9期136-138,共3页Chinese Community Doctors

摘　　要：目的:分析知-信-行模式在老年2型糖尿病患者血糖管理中的应用效果。方法:选取2019年4月-2021年5月肇庆市第二人民医院收治的老年2型糖尿病患者160例,依据病案号单、双数不同分为对照组和观察组,对照组给予常规护理,观察组给予知-信-行模式护理,比较两组患者血糖管理质量、糖尿病知识掌握程度及糖尿病自我管理行为评分。结果:干预前两组患者空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、体重指数(BMI)、糖尿病知识掌握程度及糖尿病自我管理行为评分比较,差异无统计学意义(P>0.05);干预后1个月、3个月、6个月观察组患者空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇、BMI指标均低于对照组,糖尿病知识掌握程度及糖尿病自我管理行为评分高于对照组,差异均有统计学意义(P<0.05)。结论:老年2型糖尿病通过知-信-行模式下护理,能更好地控制血糖,提升对糖尿病知识的理解,加强自我管理能力,提升疾病的综合控制质量。Objective:To analyze the application effect of knowledge-belief-practice mode in blood glucose management of elderly patients with type 2 diabetes mellitus.Methods:From April 2019 to May 2021,160 elderly patients with type 2 diabetes admitted to Zhaoqing Second People's Hospital were selected,according to the case number(odd number and even number),they were divided into control group and observation group.The control group received routine nursing and the observation group received knowledge-belief-practice mode nursing.The blood glucose management quality,diabetes knowledge mastery and diabetes self-management behavior scores of patients in the two groups were compared.Results:Before intervention,there were no significant differences in fasting blood glucose,postprandial 2 h blood glucose,glycosylated hemoglobin,total cholesterol,body mass index(BMI),diabetes knowledge mastery and diabetes self-management behavior scores between the two groups(P>0.05).After 1 month,3 months and 6 months of intervention,fasting blood glucose,postprandial 2 h blood glucose,glycosylated hemoglobin,total cholesterol and BMI indexes in the observation group were lower than those in the control group,and the diabetes knowledge mastery and diabetes self-management behavior scores were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion:The knowledge-belief-practice mode care in elderly patients with type 2 diabetes mellitus can better control blood glucose,improve the understanding of diabetes knowledge,strengthen self-management ability,and improve the comprehensive control quality of disease.

关 键 词：知-信-行模式 饮食行为管理 2型糖尿病 血糖控制 

分 类 号：R473.5[医药卫生—护理学]