基于跨理论模型的智能手机自我管理干预对2型糖尿病病人自我效能、健康信念及血糖水平的影响  

Influence of smart phone self-management intervention based on trans-theoretical model self-efficacy, health belief and blood glucose levels in patients with type 2 diabetes

作　　者：郭雪梅[1] 罗嘉懿 朱朕男 敬雪明[1] 敬剑英[1] GUO Xuemei;LUO Jiayi;ZHU Zhennan;JING Xueming;JING Jianying(Affiliated Hospital of North Sichuan Medical College,Sichuan 637000 China)

机构地区：[1]川北医学院附属医院,四川637000

出　　处：《循证护理》2022年第23期3181-3185,共5页Chinese Evidence-Based Nursing

基　　金：南充市社会科学研究“十三五”规划,编号:NC2020B046。

摘　　要：目的:探讨基于跨理论模型的智能手机自我管理干预对2型糖尿病(T2DM)病人自我效能、健康信念及血糖水平的影响。方法:选取2020年2月—2021年1月在川北医学院附属医院内分泌科住院治疗的120例2型糖尿病病人,根据病人入院时间分为试验组与对照组,每组60例。对照组病人实施常规健康教育,试验组病人实施跨理论模型联合智能手机的自我管理干预,干预6个月后比较两组干预前后自我效能、健康信念及血糖控制水平。结果:两组干预前自我效能、健康信念及血糖水平比较差异无统计学意义(P>0.05),干预6个月后试验组自我效能、健康信念总分均高于对照组(P<0.01);试验组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于对照组,差异有统计学意义(P<0.01)。结论:对2型糖尿病病人实施跨理论模型联合智能手机的自我管理干预,能有效提高病人自我效能、健康信念,降低血糖水平。Objective:To explore the effect of transtheoretical model combined with smart phone self-management intervention on self-efficacy,health beliefs and blood glucose levels in patients with type 2 diabetes mellitus(T2DM).Methods:120 patients with diabetes mellitus who were treated in the Endocrinology Department of the Affiliated Hospital of North Sichuan Medical College from February 2020 to January 2021 were selected and divided into the test group and the control group according to the admission time.The patients in the control group received routine health education,while the patients in the test group received transtheoretical model combined with smart phone self-management intervention.After 6 months of intervention,the self-efficacy,health beliefs and blood glucose control levels of the two groups were compared between the two groups before and after the intervention.Results:There was no significant difference in self-efficacy,health belief and blood glucose level between the two groups before intervention(P>0.05).After 6 months of intervention,the total scores of self-efficacy and health belief in the test group were higher than those in the control group(P<0.01);The levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the test group were lower than those in the control group,and the difference was statistically significant(P<0.01).Conclusion:The implementation of transtheoretical model and smart phone self-management intervention for type 2 diabetes patients can effectively improve patients′self-efficacy,health beliefs and reduce blood glucose levels.

关 键 词：2型糖尿病 跨理论模型 智能手机 自我效能 健康信念 血糖 糖化血红蛋白 健康管理 

分 类 号：R473.5[医药卫生—护理学]